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Online Marriage Form
Applicant 1 Personal Information
Party Type
BRIDE
GROOM
SPOUSE
Are Applicants Related?
Yes
No
First Name
Middle Name
Maiden Name
Last Name
Suffix
Jr
Sr
I
II
III
IV
V
VI
Street Address
City
State
AL
AK
AB
AS
AZ
AR
BC
CA
CO
CT
DE
DC
DR
ES
FM
FL
GA
GU
GT
HI
ID
IL
IN
IA
KS
KY
LA
ME
MB
MH
MD
MA
MX
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NF
NR
NC
ND
MP
NT
NS
OH
OK
ON
OR
PW
PA
PP
PE
PR
QC
RI
SK
SN
SC
SD
TN
TX
UT
VT
VN
VI
VA
WA
WV
WI
WY
YT
ZM
Zip
Occupation
Place of Birth
Birthplace State
AL
AK
AB
AS
AZ
AR
BC
CA
CO
CT
DE
DC
DR
ES
FM
FL
GA
GU
GT
HI
ID
IL
IN
IA
KS
KY
LA
ME
MB
MH
MD
MA
MX
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NF
NR
NC
ND
MP
NT
NS
OH
OK
ON
OR
PW
PA
PP
PE
PR
QC
RI
SK
SN
SC
SD
TN
TX
UT
VT
VN
VI
VA
WA
WV
WI
WY
YT
ZM
Date of Birth
Age
Gender
MALE
FEMALE
Race
AFRICAN
AFRICAN-AMERICAN
ALASKA NATIVE
AMERICAN INDIAN
ARABIC
ASIAN
ASIAN INDIAN
BI-RACIAL
BLACK
CHAMORRO
CHICANO
CHINESE
CUBAN
FILIPINO
GREEK
GUAMARIAN
HISPANIC
INDIAN
JAPANESE
KOREAN
MEXICAN
MEXICAN-AMERICAN
NATIVE HAWAIIAN
NIGERIAN
NORTH AFRICAN
OTHER
OTHER ASIAN
OTHER PACIFIC ISLANDER
OTHER SPANISH/HISPANIC/LATINO
PUERTO RICAN
SAMOAN
VIETNAMESE
WHITE
Applicant 1 Marital History
Previous Number of Marriages
Last Marriage Ending
WIDOWED
DIVORCE
ANNULMENT
NULL
VOID
Applicant 1 Parental Information
Mother's First Name
Maiden Name
Full Name of Father
Applicant 2 Personal Information
Party Type
BRIDE
GROOM
SPOUSE
First Name
Middle Name
Maiden Name
Last Name
Suffix
Jr
Sr
I
II
III
IV
V
VI
Street Address
City
State
AL
AK
AB
AS
AZ
AR
BC
CA
CO
CT
DE
DC
DR
ES
FM
FL
GA
GU
GT
HI
ID
IL
IN
IA
KS
KY
LA
ME
MB
MH
MD
MA
MX
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NF
NR
NC
ND
MP
NT
NS
OH
OK
ON
OR
PW
PA
PP
PE
PR
QC
RI
SK
SN
SC
SD
TN
TX
UT
VT
VN
VI
VA
WA
WV
WI
WY
YT
ZM
Zip
Occupation
Place of Birth
Birthplace State
AL
AK
AB
AS
AZ
AR
BC
CA
CO
CT
DE
DC
DR
ES
FM
FL
GA
GU
GT
HI
ID
IL
IN
IA
KS
KY
LA
ME
MB
MH
MD
MA
MX
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NF
NR
NC
ND
MP
NT
NS
OH
OK
ON
OR
PW
PA
PP
PE
PR
QC
RI
SK
SN
SC
SD
TN
TX
UT
VT
VN
VI
VA
WA
WV
WI
WY
YT
ZM
Date of Birth
Age
Gender
MALE
FEMALE
Race
AFRICAN
AFRICAN-AMERICAN
ALASKA NATIVE
AMERICAN INDIAN
ARABIC
ASIAN
ASIAN INDIAN
BI-RACIAL
BLACK
CHAMORRO
CHICANO
CHINESE
CUBAN
FILIPINO
GREEK
GUAMARIAN
HISPANIC
INDIAN
JAPANESE
KOREAN
MEXICAN
MEXICAN-AMERICAN
NATIVE HAWAIIAN
NIGERIAN
NORTH AFRICAN
OTHER
OTHER ASIAN
OTHER PACIFIC ISLANDER
OTHER SPANISH/HISPANIC/LATINO
PUERTO RICAN
SAMOAN
VIETNAMESE
WHITE
Applicant 2 Marital History
Previous Number of Marriages
Last Marriage Ending
WIDOWED
DIVORCE
ANNULMENT
NULL
VOID
Applicant 2 Parental Information
Mother's First Name
Maiden Name
Father's Full Name
Contact Information
Phone Number
Please provide return to address information so Kenton County may send a certificate of marriage.
Street Address
City
State
AL
AK
AB
AS
AZ
AR
BC
CA
CO
CT
DE
DC
DR
ES
FM
FL
GA
GU
GT
HI
ID
IL
IN
IA
KS
KY
LA
ME
MB
MH
MD
MA
MX
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NF
NR
NC
ND
MP
NT
NS
OH
OK
ON
OR
PW
PA
PP
PE
PR
QC
RI
SK
SN
SC
SD
TN
TX
UT
VT
VN
VI
VA
WA
WV
WI
WY
YT
ZM
Zip
To complete the application come to the Covington location at 1840 Simon Kenton Way.
Office hours for marriage license is between 7:30 a.m. and 3:30 p.m. Both parties must be present.
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Applicant 1 Review
Party Type:
Are Applicants Related?:
Name:
Maiden Name:
Occupation:
Address:
Birth Place:
Birthdate:
Age:
Gender:
Race:
Previous Marriages:
Last Marriage Ending:
Mother:
Maiden Name:
Father:
Applicant 2 Review
Party Type:
Are Applicants Related:
Name:
Maiden Name:
Occupation:
Address:
Birth Place:
Birthdate:
Age:
Gender:
Race:
Previous Marriages:
Last Marriage Ending:
Mother:
Maiden Name:
Father:
Contact Information
Phone Number:
Address:
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