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Rev. March 2024 CITY OF ALBANY APPLICATION FOR MARRIAGE LICENSE PLEASE PRINT CLEARLY AND LEGIBLY DATE: OFFICIAL USE: NUMBER Bride/Groom/Spouse Information 1 Bride/Groom/Spouse Information 2 Name: First Middle Last Birth Name (If Different): Last Name After Marriage: Social Security Number: - - Name: First Middle Last Birth Name (If Different): Last Name After Marriage: Social Security Number: - - Residence: State County Check One: ☐City I ☐Town I ☐Village Municipality Name: Street Address Zip Code Daytime Phone # Residence Within Limits of Incorporated City or Village? ☐Yes I ☐No Residence: State County Check One: ☐City I ☐Town I ☐Village Municipality Name: Street Address Zip Code Daytime Phone # Residence Within Limits of Incorporated City or Village? ☐Yes I ☐No Date of Birth: Age: Sex: ☐M I ☐F (optional) Place of Birth: Date of Birth: Age: Sex: ☐M I ☐F (optional) Place of Birth: Father's Full Name: Father's Country of Birth: Mother's Full Maiden Name: Mother's Country of Birth: Father's Full Name: Father's Country of Birth: Mother's Full Maiden Name: Mother's Country of Birth: Number of This Marriage: 1 2 3 4 (Select One) Previous Marriage Ended By: (Check One) ☐Divorce Produce All Divorce Papers ☐Annulment Produce All Annulment Papers ☐Death Produce Death Certificate Former Spouse Living: ☐Yes I ☐ No Date First Marriage Ended: Date Second Marriage Ended: Date Third Marriage Ended: Date Fourth Marriage Ended: Number of This Marriage: 1 2 3 4 (Select One) Previous Marriage Ended By: (Check One) ☐Divorce Produce All Divorce Papers ☐Annulment Produce All Annulment Papers ☐Death Produce Death Certificate Former Spouse Living: ☐Yes I ☐ No Date First Marriage Ended: Date Second Marriage Ended: Date Third Marriage Ended: Date Fourth Marriage Ended: ADDRESS WHERE YOU WILL BE LIVING AFTER MARRIAGE WHERE CERTIFIED MARRIAGE CERTIFICATE WILL BE MAILED NOTE: All divorce decrees or death certificates are required. And either a Certified Birth Certificate or Baptismal Certificate AND one form of government issued photo identification, e.g. driver license, passport, immigration record.