Applicant 1 First Name Middle Name Last Name Title Jr Sr I II III IV V Last Name Prior to First Marriage (If Applies) Address City State ALABAMA ALASKA AMERICAN SAMOA ANDHRAPRADESH ARIZONA ARKANSAS Australia CALIFORNIA CAnada CHINA COLORADO CONNECTICUT COSTA RICA DELAWARE DISTRICT OF COLUMBIA EL SALVADOR ENGLAND FEDERATED STATES OF MICRONESIA FINLAND FLORIDA FRANCE GEORGIA GERMANY GREECE GUAM HAWAII HONDURAS IDAHO ILLINOIS INDIA INDIANA IOWA IRELAND ITALY JAPAN KANSAS KENTUCKY LONDON LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MEXICO MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA NORTHERN MARIANA ISLANDS OHIO OKLAHOMA ONTARIO OREGON PALAU PENNSYLVANIA PHILIPPINES POLAND PUERTO RICO RHODE ISLAND ROMANIA SOUTH AMERICA SOUTH CAROLINA SOUTH DAKOTA SPAIN SWEDEN TENNESSEE TEXAS UNITED KINGDOM UTAH Valle VENEZUELA VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING County Inside City Limit Yes No Birth Place (County & State or Country) Date of Birth (mm/dd/yyyy) Gender (Optional) Male Female Race (Optional) Education College Elementary School High School Education Years Number Of This Marriage 1 2 3 4 5 6 7 8 9 10 Last Marriage Ended By Annulment Death Dissolution Divorce Marriage Ended Date Parent's Name At Parent's Birth State of Birth Address (if Living) Parent's Name At Parent's Birth State of Birth Address (if Living) Applicant 2 First Name Middle Name Last Name Title Jr Sr I II III IV V Last Name Prior to First Marriage (If Applies) Address City State ALABAMA ALASKA AMERICAN SAMOA ANDHRAPRADESH ARIZONA ARKANSAS Australia CALIFORNIA CAnada CHINA COLORADO CONNECTICUT COSTA RICA DELAWARE DISTRICT OF COLUMBIA EL SALVADOR ENGLAND FEDERATED STATES OF MICRONESIA FINLAND FLORIDA FRANCE GEORGIA GERMANY GREECE GUAM HAWAII HONDURAS IDAHO ILLINOIS INDIA INDIANA IOWA IRELAND ITALY JAPAN KANSAS KENTUCKY LONDON LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MEXICO MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA NORTHERN MARIANA ISLANDS OHIO OKLAHOMA ONTARIO OREGON PALAU PENNSYLVANIA PHILIPPINES POLAND PUERTO RICO RHODE ISLAND ROMANIA SOUTH AMERICA SOUTH CAROLINA SOUTH DAKOTA SPAIN SWEDEN TENNESSEE TEXAS UNITED KINGDOM UTAH Valle VENEZUELA VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING County Inside City Limit Yes No Birth Place (County & State or Country) Date of Birth (mm/dd/yyyy) Gender (Optional) Male Female Race (Optional) Education College Elementary School High School Education Years Number Of This Marriage 1 2 3 4 5 6 7 8 9 10 Last Marriage Ended By Annulment Death Dissolution Divorce Marriage Ended Date Parent's Name At Parent's Birth State of Birth Address (if Living) Parent's Name At Parent's Birth State of Birth Address (if Living)
