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 possbile (complete list of requirements) 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). Note: Additional information may be required to complete the application process (bride and groom identification, divorce records, etc.) as well as payment for the application fee. The price for the marriage license is $45.00 in cash only. The phone number for the marriage recording is (937) 521-6038, 24 hours a day.

Groom's Information

Last Name:
First Name:
Middle Name:

Address:
City/State/ZIP:
County:

Phone #: ( ) -
Birthplace:
(City, State)
Birthdate: / /
Age:

Occupation:

Father's Last Name:
Father's First Name:
Father's Middle Name:

Mother's Maiden Name:
Mother's First Name:
Mother's Middle Name:

Number 0f Previous Marriages:
Ever Widowed?:
Ever Divorced?:

Most Recent Divorce Information

Date Divorced: / /
Case Number:
County:
Court:
State:

Last Spouse:
(Last, First, Middle Initial)
Minor Children: ...
(First Name, Age)

Prior Divorce Information

County:
Court:
State:

Last Spouse (Maiden Name):
(Last, First, Middle Initial)
Minor Children: ...
(First Name, Age)

Bride's Information

Last Name:
First Name:
Middle Name:

Address:
City/State/ZIP:
County:

Phone #: ( ) -
Birthplace:
(City, State)
Birthdate: / /
Age:

Occupation:

Father's Last Name:
Father's First Name:
Father's Middle Name:

Mother's Maiden Name:
Mother's First Name:
Mother's Middle Name:

Number of Previous Marriages:
Ever Widowed?:
Ever Divorced?:

Most recent Divorce Information

Date Divorced: / /
Case Number:
County:
Court:
State:

Last Spouse:
(Last, First, Middle Initial)
Minor Children:....
(First Name, Age)

Prior Divorce Information

County:
Court:
State:

Last Spouse:
(Last, First, Middle Initial)
Minor Children:....
(First Name, Age)

Marriage Information
Party To Solemnize: Party's Church: ...... Party's Title:........... Party's Address:.....	City/State/ZIP:....... Party's Phone: .......( ) - Wedding Date: / /