Clark County Probate Court - on-Line Marriage Application

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To file for a marriage license with The Clark County Probate Court, fill out the form below as completely as possible and click the "Submit" button at the bottom of this page. After a few moments, a confirmation page will appear, on which you will find the information as you entered it as well as a 10 digit tracking number. Print the confirmation page out and bring it to the Clark County Probate Court within 60 days to complete the application process (please allow 24 hours AFTER applying on-line before appearing at the court to allow the application to be processed by the system). Proof of information (see Court Jurisdiction, Marriage Licenses) entered below will be required, including proof of Social Security number. The price for the marriage license is $45.00 in cash only. The phone number for the marriage recording is (937) 521-1845 (at the first prompt hit 2, at the second prompt hit 1), 24 hours a day.

The Bride and Groom must provide proof of
name, address, date of birth, and Social Security number

Groom's Information
Last Name:		Prev. Marriages:
First Name:		Ever Widowed?:
Middle Name:		Ever Divorced?:

Address:		Most Recent Divorce/Widow
City/State/ZIP:		Date:	/ /
County:		Case Number:
Phone:	( ) -	County:
Birthplace:		Court:
Date of Birth:	/ /	State:
Age:		Spouse:
		Minor Children:
Occupation:

Groom's Father		Previous Divorce/Widow
Last Name:
First Name:
Middle Name:		County:
		Court:
Groom's Mother		State:
Maiden Name:		Spouse:
First Name:		Minor Children:
Middle Name:

Bride's Information
Last Name:		Prev. Marriages:
First Name:		Ever Widowed?:
Middle Name:		Ever Divorced?:

Address:		Most Recent Divorce/Widow
City/State/ZIP:		Date:	/ /
County:		Case Number:
Phone:	( ) -	County:
Birthplace:		Court:
Date of Birth:	/ /	State:
Age:		Spouse:
		Minor Children:
Occupation:

Bride's Father		Previous Divorce/Widow
Last Name:
First Name:
Middle Name:		County:
		Court:
Bride's Mother		State:
Maiden Name:		Spouse:
First Name:		Minor Children:
Middle Name:

Party to Solemnize Marriage
Name:		Address:
Title:		City/State/ZIP:
Church:		Phone:	( ) -

Wedding Information
Wedding Date:	/ /

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