Michigan > Local County > Genesee
Application For Marriage Record - Michigan
| Application For Marriage Record Form. This is a Michigan form and can be used in Genesee Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
GENESEE COUNTY CLERK APPLICATION FOR MARRIAGE RECORD (Please Print) APPLICANT INFORMATION (Person Requesting Record) Applicant's Name: _____________________________________________________________________ Address: ____________________________________________________________________________ City/State/Zip_________________________________________________________________________ Daytime phone number to contact you if there is a problem: ( APPLICANT'S SIGNATURE: ________________________________________________________ Must be Signed in Order to Process REQUESTED MARRIAGE INFORMATION (Marriage License Must Have Been Obtained in Genesee County) ) ____________________________ Name of Groom: _____________________________________________________________________ First Middle Last Name of Bride: ______________________________________________________________________ First Middle Maiden Date of Marriage: ______________________________________ Month Day Year The fee is $10.00 for the first copy, and $5.00 for EACH ADDITIONAL COPY of the same record when ordered at the same time as the first copy. Number of Copies Requested: ____________ Mail this application with a MONEY ORDER payable to: Genesee County Clerk Vital Records 900 S. Saginaw St. Flint, MI 48502 For additional information call (810) 257-3225 American LegalNet, Inc. www.USCourtForms.com
|
|||||||
