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Divorce Application Form

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Form - DOH-2168 Certificate of Dissolution of Marriage

www.nycourts.gov

type of decree - divorce, annulment, other of dissolution (specify) entry: 15 14d. county of decree 14e. title of court decree 14f. signature of county clerk 23 > confidential information 15. race: white, black, american indian, other (specify) 16. number of this marriage - first, 17. if previously married how many ended by 18.

  Form, Certificate, Marriage, Divorce, Dissolution, Certificate of dissolution of marriage

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