License Application

Marion County Marriage License Kiosk

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Gregory C. Harrell

Clerk of Court and Comptroller

Marion County, Florida

Spouse 1

First Name

Middle Name

Last Name

Suffix

Proof of Identification

Address

City

County

State

Zip

Phone#

DOB

Age

Birth State

Race

Social Security #

This Marriage #

Birth/Maiden Name

Last Marriage Ended In

Date Last Marriage Ended on

Spouse 2

First Name

Middle Name

Last Name

Suffix

Proof of Identification

Same Address

Address

City

County

State

Zip

Phone#

DOB

Age

Birth State

Race

Social Security #

This Marriage #

Birth/Maiden Name

Last Marriage Ended In

Date Last Marriage Ended on

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