COUNTY OF SAN DIEGO ASSESSOR/RECORDER/COUNTYCLERK APPLICATION FOR COPY OR SEARCH OF MARRIAGE RECORD BY MAIL Records are available for marriages only if the license was issued in San Diego County. A certified copy of a marriage record will be provided for a $13.00 fee per copy. The fee is nonrefundable. If no record of the marriage is found, pursuant to Health and Safety Code 103650, the $13.00 fee will be retained for searching and a Certificate of No Record will be issued. I would like a Certified copy of a marriage record identified on this application form (please mark appropriate box). Public Marriage (Fill out section I and III) Confidential Marriage (Fill out section I, II, and III) - Requires notarization. I. MARRIAGE INFORMATION (Please print or type) $13.00 EACH COPY Name of first person Name of second person Date of marriage Number of copies II. CONFIDENTIAL MARRIAGE ONLY Pursuant to Family Code Section 509, a Confidential marriage certificate may be obtained only by a party to confidential marriage (first or second person), or pursuant to Family Code Section 511, by order of the court upon a showing of good cause. Signature of first or second person: _____________________________________________________________________________________ CERTIFICATE OF ACKNOWLEDGEMENT State of ____________________________________________ County of _____________________________________________ On _______________________________before me, ____________________________________________________, Notary Public (name of the officer) personally appeared ________________________________________________________________________ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Notary Signature_____________________________________________ III. COMPLETE MAILING INFORMATION Number of Marriage Certificates _____ x $13.00 = ___________ Name: ______________________________________________ Address: ______________________________________________ City, State, Zip: _________________________________________ Please mail this request along with your payment payable to: San Diego County Recorder/County Clerk P.O. Box 121750 San Diego CA 92112-1750 Phone: ________________________________________________ E-mail:_____________________________________________ Vitals Form #V5M/6M (01/2009) American LegalNet, Inc. www.FormsWorkflow.com