Intended date of the event*

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If either applicant is divorced or widowed (Date & Place of Divorce/Widowed and divorce decree or death certificate is needed)

What is this application for? *

In which Municipality? *

Provide details of where and when the event will be held (in the State of New Jersey)

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{[CITY]}, {[STATE]} {[ZIP]}
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$28 fee is now being waived for Marriage License applications, effective July 1, 2022 through June 30, 2023

Event

Applicant A
Applicant B
Ceremony

Social Security Number *

Email *

Name of Most Recent Civil Union Partner

Municipality of Residence *

Gender *

Name of Most Recent Spouse

Are you related to Applicant B? *

Current Name (if different)

Street Address *

Place

Phone *

State *

(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)

Type of Ceremony

Date

Domestic Status (at this time) *

ZIP *

No. of times ever Married

Date

Declaration of Applicant A

Parent's Full Name at Birth *

County *

Place of Birth *

No. of times ever in a Civil Union

Date of Birth *

Place of Birth *

If "YES," how?

Place of Birth *

Name on Birth Certificate (First, Middle, Last) *

Parent's Full Name at Birth *

Applicants MUST provide their social security numbers (N.J.S. 37:1-17). Social Security Numbers shall be kept confidential and may only be released for child support purposes and this document shall not be considered a public record pursuant to P.L. 1963, C.73 (C.47:1A-1 et seq.) Giving false information constitues perjury.

Place

Domestic Status (at this time) *

If "YES," how?

Street Address *

Place of Birth *

Social Security Number *

No. of times ever Married

County *

State *

Place

(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)

No. of times ever in a Civil Union

Phone *

Name of Most Recent Spouse

Place of Birth *

Municipality of Residence *

Current Name (if different)

Name on Birth Certificate (First, Middle, Last) *

Date of Birth *

Name of Most Recent Civil Union Partner

Declaration of Applicant B

Parent's Full Name at Birth *

Date

Type of Ceremony

Parent's Full Name at Birth *

Place of Birth *

Gender *

Email *

Are you related to Applicant A? *

ZIP *

Date

City *

Provide a mailing address and phone number where either applicant can be reached after the ceremony

Have the Applicants correctly stated
their ages and usual residences?

If "Yes", explain

Name (First, Middle, Last) *

Mailing Address *

ZIP *

City *

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

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

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

Proof of identity, e.g. Driver's license, passport or state/federal I.D.
Proof of residency, e.g. Bank Statement, Utility Bill, Pay Stub within last ninety (90) days.
A witness, eighteen (18) years of age or older (must speak/understand English)
Application Fee of $28.00, which can be paid online.

The witness must know BOTH Applicants, and must be aged eighteen (18) years or older. This witness must present themselves (and appropriate identification) WITH the Applicants to the Registrar’s Office to sign the Oath of Application and Identifying Witness.

State *

Name (First, Middle, Last) *

City *

Next Steps

Correspondence

Title (Priest, Reverend, Minister, Rabbi, etc.) *

State *

Mailing Address *

Witness

Provide details of the person that will be officiating the ceremony

ZIP *

Did the Applicants make you aware of any legal impediment to their
marriage/remarriage/civil union/reaffirmation of civil union?

Mailing Address *

Please select 2 appointment choices from Monday-Friday between 9:00am-4:00pm, excluding holidays:

State *

ZIP *

Officiant

Phone # *