ATTORNEY OR PARTY(s) WITHOUT ATTORNEY (NAME, ADDRESS, PHONE) FOR COURT USE ONLY Attorney for: SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS Street Address: 800 11th Street, Modesto, CA 95354 Civil Clerk' Office: 1100 I Street, P.O. Box 1098, Modesto, CA 95353 IN MATTER OF: , Male applicant To marry: , Female applicant APPLICATION FOR ORDER GRANTING PERMISSION FOR MINOR TO MARRY CASE NO:________________ We, , and are hereby applying to the Court for an order for permission to marry, pursuant to Family Code section 302. 1. Attached to this application for consideration by the Court are the following documents: A) Premarital Counseling Report , The Premarital Counseling Report is not attached because B) A notarized Consent of Parent or Guardian for Issuance of Marriage License A certified copy of Letters of Guardianship (Required if consent is granted by the guardian of the minor) No consent by the parent or guardian is attached because APPLICATION FOR ORDER GRANTING PERMISSION FOR MINOR TO MARRY FL011 -1- New 3/2008 American LegalNet, Inc. www.FormsWorkflow.com 2. The following information is provided to the Court for consideration regarding the parties who are requesting permission to marry. A) Male applicant's information ­ (please complete the following): 1) Name: 2) Date of Birth: Age: 3) Address: 4) Phone number: 5) Highest grade in school attended: 7) I have have not ever been married, 8) My fiancé and I do do not have children. If applicable, we have 9) I have 10) Employment information: (list number of) children. (list number of) other children. I do do not contribute to their support. I do do not contribute to their support. Currently attending school: YES NO times. 6) I am am not a ward or dependent of the juvenile court. If applicable, any prior marriages were ended by: annulment divorce death I am not employed. I am supported by: No source of support Unemployment benefits Friends Welfare Parents Social Security Relatives other than Parents Other I am employed, since (list date): My current occupation is: My take home wages are: My employer is: 11) I have known my fiancé for per month, years months. per week. APPLICATION FOR ORDER GRANTING PERMISSION FOR MINOR TO MARRY FL011 -2- New 3/2008 American LegalNet, Inc. www.FormsWorkflow.com 12) My parents' consideration of this proposed marriage is as follows: They approve They object Unknown Other 13) If we are granted permission to marry, we will live: By ourselves With fiancé's parents With my parents With relatives other than parents With friends 14) We are currently living: With fiancé's parents With my parents With relatives other than parents With friends Other B) Female applicant's information ­ (please complete the following): 1) Name: 2) Date of Birth: Age: 3) Address: 4) Phone number: 5) Highest grade in school attended: 7) I have have not ever been married ( 8) My fiancé and I do do not have children. Currently attending school: YES NO times) 6) I am am not a ward or dependent of the juvenile court. If applicable, any prior marriages were ended by: annulment divorce death I am currently pregnant. If applicable, we have (list number of) children. I do do not contribute to their support. APPLICATION FOR ORDER GRANTING PERMISSION FOR MINOR TO MARRY FL011 -3- New 3/2008 American LegalNet, Inc. www.FormsWorkflow.com 9) I have 10) Employment information: (list number of) other children. I do do not contribute to their support. I am not employed. I am supported by: No source of support Unemployment benefits Friends Welfare Parents Social Security Relatives other than Parents Other I am employed, since (list date): My current occupation is: per month, My take home wages are: My employer is: 11) I have known my fiancé for years months. 12) My parents' opinion of our proposed marriage is as follows: per week. They approve They object Unknown Other 13) If we are granted permission to marry, we will live: By ourselves With fiancé's parents With my parents With relatives other than parents With friends APPLICATION FOR ORDER GRANTING PERMISSION FOR MINOR TO MARRY FL011 -4- New 3/2008 American LegalNet, Inc. www.FormsWorkflow.com 14) We are currently living: With fiancé's parents With my parents With relatives other than parents With friends Other I hereby declare under penalty of perjury that the foregoing statements are true and correct. Executed at , California. Signature of Male Applicant: Date: Signature of Female Applicant: Date: APPLICATION FOR ORDER GRANTING PERMISSION FOR MINOR TO MARRY FL011 -5- New 3/2008 American LegalNet, Inc. www.FormsWorkflow.com