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Marriage Kiosk

 

Spouse 1/Groom

Party 1 First Name Party 1 Middle Name
Party 1 Last Name Party 1 Suffix
Party 1 Maiden/Given Name
Party 1 Race Party 1 SSN
Party 1 Street Address Party 1 City
Party 1 State Party 1 Zip Code
Party 1 County Party 1 Phone
Party 1 Date of Birth Party 1 Birth State
Party 1 Ever Married Party 1 Number of this Marriage
Party 1 Last Marriage Ended Date Party 1 Marriage Ended

    Spouse 2/Bride

    Party 2 First Name Party 2 Middle Name
    Party 2 Last Name Party 2 Suffix
    Party 2 Maiden / Given Name
    Party 2 Race Party 2 SSN
    Party 2 Street Address Party 2 City
    Party 2 State Party 2 Zip Code
    Party 2 County Party 2 Phone
    Party 2 Date oF Birth Party 2 Birth State
    Party 2 Ever Married Party 2 Number of this Marriage
    Party 2 Last Marriage Ended Date Party 2 Marriage Ended
       

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