Online Marriage Form

Groom's Personal Information
Name:
First Middle Last Suffix
Street Address:
City:
State, Zip:
,
County Residing:
Select a NC county or fill in one
   Or   
Inside City Limits of City?
 
Date of Birth:
Age:
Birthplace County/State:
Select a NC county or fill in one
   Or   
State
 
Race (optional):
Groom Present
Groom Not Present

Groom's Marital History
Which marriage is this?
Last Marriage Ended Date:
Last Marriage Ended Reason:

Groom's Educational Information
What is the highest grade completed?
Elementary High School College

Groom's Parental Information
Father's Full Name:
Address: (Street, City)
State:
Father's Birthplace State:
Mother's Full MAIDEN Name:
Address: (Street, City)
Same as father's
State:
Mother's Birthplace State:
* If Name or Address is not known, please type UNKNOWN in that field *
Bride's Personal Information
Name:
First Middle Last
Bride's Maiden Surname (if different):
Street Address:
Address same as groom's
City:
State, Zip:
,
County Residing:
Select a NC county or fill in one
   Or   
Inside City Limits of City?
 
Date of Birth:
Age:
Birthplace County/State:
Select a NC county or fill in one
   Or   
State
 
Race (optional):
Bride Present
Bride Not Present

Bride's Marital Information
Which marriage is this?
Last Marriage Ended Date:
Last Marriage Ended Reason:

Bride's Educational Information
What is the highest grade completed?
Elementary High School College

Bride's Parental Information
Father's Full Name:
Address: (Street, City)
State:
Father's Birthplace State:
 
Mother's Full MAIDEN Name:
Address: (Street, City)
Same as father's
State:
Mother's Birthplace State:
* If Name or Address is not known, please type UNKNOWN in that field *