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Marriage License Application

Party A
First Name Middle Name Last Name Suffix Sex Race Date of Birth
Address Street Number and Street Name Optional Apartment Number City State Zip Zip +4 SSN Phone
SC County US State (ex. South Carolina) or Country of Birth (ex. Canada) Last Name on Birth Certificate No. of Marriages Including This One eMail Address
Picture ID Document SSN Document
.
Party B
First Name Middle Name Last Name Suffix Sex Race Date of Birth
Address Street Number and Street Name Optional Apartment Number City State Zip Zip +4 SSN Phone
SC County US State (ex. South Carolina) or Country of Birth (ex. Canada) Last Name on Birth Certificate No. of Marriages Including This One eMail Address
Picture ID Document SSN Document
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