Mecklenburg County On-Line Marriage Application Logo

Instructions
  - All items are required except 'Race' and 'Education'.
    'Last Marriage' information may be required depending on value of 'Number of this Marriage.'
  - Enter 'NA' for items that are not applicable.
  - You must be 18 years of age to use this on-line application.  If you are under the age of 18,
    you must apply in person at the Register of Deeds office.
  - Enter Country information into the respective State field for persons whose current
    residence is outside the United States.
Male's InformationFemale's Information First NameMiddle NameLast NameSuffix
Residence State
Residence County
Residence City or TownInside City Limits?Street & Number
County of Birth
State of Birth
Date of Birth (MM/DD/YYYY)Father's Name
State of BirthAddress (If Living)Mother's Maiden Name
State of BirthAddress (If Living)RaceNumber of
this MarriageIf Previously Married, specify
Last Marriage Ended ByHighest Level of
Education Completed
Date the Last Marriage
ended (MM/DD/YYYY)First NameMiddle NameLast NameMaiden Surname (If Different)
Residence State
Residence County
Residence City or TownInside City Limits?Street & Number
County of Birth
State of Birth
Date of Birth (MM/DD/YYYY)Father's Name
State of BirthAddress (If Living)Mother's Maiden Name
State of BirthAddress (If Living)RaceNumber of
this MarriageIf Previously Married, specify
Last Marriage Ended ByHighest Level of
Education Completed
Date the Last Marriage
ended (MM/DD/YYYY)
Submit Application
On-Line Application Server, Version 1.0
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