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Marriage Application (Groom) Form. This is a Ohio form and can be use in Lake County (Court Of Common Pleas).
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Tags: Marriage Application (Groom), Ohio County (Court Of Common Pleas), Lake
Application Number
____ML___________
LAKE COUNTY PROBATE COURT
JUDE TED KLAMMER
MARRIAGE APPLICATION
GROOM
In light of the events of 9-11, this Court is taking additional steps to ensure your security as well
as the security of the citizens of Lake County, Ohio. This application incorporates revisions in the Ohio
Constitution and statutory law, and to protect your privacy interests.
The following are the general rules: A male of at least 18 years of age and a female of at least 16
years of age, not nearer of kin than second cousins, and not having a husband or wife living may be joined
in marriage. A marriage may only be entered into by one man and one woman. Further, a marriage
between persons of the same biological sex is against the Ohio Constitution and the laws of this state.
There are some additional requirements if you are under the age of 21.
In order to help ensure there are no legal impediments to the approval of this application, please
provide and fill out all of the following information:
Name: _________________________________________________________________
Last
First
Middle
Telephone Number (daytime): __________________________________
Have You Ever Been Known By Any Other Name? (list all)
______________________________________________________
Social Security No. (optional): ________________________ or
Green Card/Passport/Visa/Work Authorization No.: _____________________________
(Must be presented to the clerk)
Date of Birth: __________
Place of Birth:____________________________________
(City , State)
Present Address:
________________________________________________________
Address
City
State
Zip
Prior 2 Addresses: ________________________________________________________
Address
City
State
Zip
________________________________________________________
Address
Occupation:
City
________________________
State
Zip
Years/Months Employed: ________
Father’s Full Name: _______________________________________________________
Deceased? _____ Yes _____ No
Date of Death: _________________
Mother’s Full Maiden Name: _______________________________________________
Deceased? _____ Yes _____ No
Date of Death: _________________
-1–
Rev. 12/04/09
American LegalNet, Inc.
www.FormsWorkFlow.com
Application Number
____ML___________
Are You Involved or Have You Ever Been Involved in Deportation Proceeding(s)?
_____Yes
_____No
Case No. _____________________________________
Have You Ever Been Adjudged Incompetent? _____ Yes _____ No
If Yes, By What Court? ________________________________________________
Number of Prior Marriages: _____ Terminated By _____Death _____Divorce
If Divorced, Where Were You Divorced? _____________________________________
Date Divorced: ___________
(Must provide a certified copy of most recent divorce and copies of any prior divorces)
Case No. _____________________________________
Former Spouse’s Full Name: ______________________________________________
Minor Children 17 or Under (list all with names and ages) From Prior Marriages:
_______________________________________________________________________
__________________________________________________________ _____________
Name of Person Solemnizing Marriage: _______________________________________
I, __________________________________, do solemnly swear or affirm that the
above information is true, that I am not under the influence of any intoxicating liquor or
narcotic drugs, and that I am not nearer of kin than second cousins to the bride, and there
is no legal impediment to our marriage.
____________________________________
Groom’s Signature
(To Be Signed In Front of Clerk)
________________________________________________________________________
na
Sworn to before me and signed in my presence, this __________ day of
_____________________, 20________.
__________________________________
Deputy clerk
-2–
Rev. 12/04/09
American LegalNet, Inc.
www.FormsWorkFlow.com