Please fill in Party 1's information.
PLEASE NOTE: AFTER COMPLETING THIS APPLICATION, PLEASE CALL (850) 983-1966 TO MAKE A WALK-IN APPOINTMENT. PLEASE NOTE: BOTH APPLICANTS MUST BE PRESENT AT THE TIME OF THE APPOINTMENT WITH A VALID GOVERNMENT OR STATE ISSUED IDENTIFICATION.
Suffix
- Please make a selection -
JR
SR
I
II
III
IV
V
VI
Race
- Please make a selection -
WHITE
HISPANIC
BLACK
ORIENTAL/ASIAN
AMERICAN INDIAN
ALASKAN
OTHER
Current Residence State
- Please make a selection -
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
FOREIGN COUNTRY
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Birth State
- Please make a selection -
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
FOREIGN COUNTRY
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Previously Married?
- Please make a selection -
YES
NO
Number of this Marriage
- Please make a selection -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Last Marriage Ended By
- Please make a selection -
DEATH
DIVORCE
ANNULMENT
Please fill in Party 2's information.
PLEASE NOTE: AFTER COMPLETING THIS APPLICATION, PLEASE CALL (850) 983-1966 TO MAKE A WALK-IN APPOINTMENT. PLEASE NOTE: BOTH APPLICANTS MUST BE PRESENT AT THE TIME OF THE APPOINTMENT WITH A VALID GOVERNMENT OR STATE ISSUED IDENTIFICATION.
Suffix
- Please make a selection -
JR
SR
I
II
III
IV
V
VI
Race
- Please make a selection -
WHITE
HISPANIC
BLACK
ORIENTAL/ASIAN
AMERICAN INDIAN
ALASKAN
OTHER
Current Residence State
- Please make a selection -
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
FOREIGN COUNTRY
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Birth State
- Please make a selection -
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
FOREIGN COUNTRY
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Previously Married?
- Please make a selection -
YES
NO
Number of this Marriage
- Please make a selection -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Last Marriage Ended By
- Please make a selection -
DEATH
DIVORCE
ANNULMENT
Review & Submit
PLEASE NOTE: AFTER COMPLETING THIS APPLICATION, PLEASE CALL (850) 983-1966 TO MAKE A WALK-IN APPOINTMENT. PLEASE NOTE: BOTH APPLICANTS MUST BE PRESENT AT THE TIME OF THE APPOINTMENT WITH A VALID GOVERNMENT OR STATE ISSUED IDENTIFICATION.
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