{[PNAME]}
Application
Please fill out this application in its entirety
{[CNAME]}
155 N. Taylor Street Suite 110
{[CITY]}, {[STATE]} {[ZIP]}
775-423-6028
{[AWEBSITE]}
  • Party 1
  • Party 2
  • Mailing Address
Country Name
How Most Recent Marriage Ended?
Please Explain
Social Security #
Email
Prior marriage(s)
Municipality of Residence
Gender
Are you related to Party 2?
Current First Name
Do you have a Social Security # ?
Street Address of Residence
Where Most Recent Marriage Ended?
Phone #
Middle Name
State/Country
Domestic Status (at this time)
ZIP
# of previous marriages
Party 1
Parent 2 Full Name at Birth
County
Place of Birth (state or country)
Last Name
Parental Information
Middle Name
Date of Birth
Parent 2 Place of Birth (state or country)
If "Yes," how?
Parent 1 Place of Birth (state or country)
First Name After Marriage (if different)
Are you a US Citizen?
Parent 1 Full Name at Birth
When Most Recent Marriage Ended?
Have You Ever been Married?
# of This Marriage
Last Name
Prior marriage(s)
Domestic Status (at this time)
If "Yes," how?
Street Address of Residence
Please Explain
Place of Birth (state or country)
Social Security #
# of previous marriages
County
State/Country
When Most Recent Marriage Ended?
Phone #
Parent 1 Place of Birth (state or country)
Last Name
Municipality of Residence
Country Name
Current First Name
First Name After Marriage (if different)
Date of Birth
Middle Name
How Most Recent Marriage Ended?
Do you have a Social Security # ?
Party 2
Parental Information
Where Most Recent Marriage Ended?
Parent 2 Full Name at Birth
Have You Ever been Married?
Parent 1 Full Name at Birth
Parent 2 Place of Birth (state or country)
Gender
Middle Name
Email
Last Name
Are you related to Party 1?
Are you a US Citizen?
ZIP
# of This Marriage
Attachments
Provide a mailing address and phone number where either applicant can be reached after the ceremony
Couple Mailing Address
Please be informed that payment is due at the time of in person license issuance.
Party 1 Court Order Attached?

The applicants named in this application must appear before the Clerk TOGETHER, unless previously authorized by the Clerk, or in the event of an emergency.

Note that this application CANNOT be mailed to the Clerk's Office.

When presenting yourselves to the Clerk you must bring the following items with you:

  1. Proof of identity, e.g. Driver's license, passport or state/federal I.D.
  2. Application Fee of $100.00. (Cash or Credit Card)
  3. If either applicant has been divorced or annulled less than 30 days, bring a copy of court paperwork.
City
Next Steps
Correspondence
State
ZIP
Appointments are available 9:00am - 3:00pm M-F (excluding hoildays)

Select a preferred date and time for your appointment.
License must be issued in person no more than 30 days after application submitted.
Application Fee
Party 2 Court Order Attached?
Phone #