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Marriage License Application - Los Angeles County RR/CC

Marriage License Application City Ceremony Will Take Place: _____ Date of Ceremony: _____ License Type applying for: F Public - $ (Record will become public record once recorded) F Confidential - $ (Record will be closed, and not opened to public once recorded- must be living together) F Other - $ - For Denomination without Clergy (Buddhist, Muslim, Bahai, etc.) 1st PERSON PERSONAL DATA Optional: Bride Groom None 2ND PERSON PERSONAL DATA Optional: Bride Groom None 1st Person s ID or DL# Exp: 2nd Person s ID or DL# Exp: First Name: First Name: Middle Name: Middle Name: Current Last Name: Current Last Name: Last Name At Birth (If Different): Last Name at Birth (If Different): Date of Birth: State of Birth: Date of Birth: State of Birth: Number of Previous Marriages/SRDP: Number of Previous Marriages/SRDP: Last Marriage /SRDP Ended By (1): F Death F Divorce F Annulment Last Marriage /SRDP Ended By (1): F Death F Divorce F Annulment Date Last Marriage /SRDP Ended Month/Day/Year.

The marriage license can be used only within the State of California. B. Confidential Marriage License Fee: $85 Couple (not minors) must be living together as man and wife. A Confidential Marriage License is valid for 90 days and must be used in the county where it is issued. A confidential marriage license is not a public record.

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  License, Marriage, Marriage license

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