
§ 2.004. APPLICATION FORM.  (a) The county clerk shall 
furnish the application form as prescribed by the bureau of vital 
statistics.
	(b)  The application form must contain:                                        
		(1)  a heading entitled "Application for Marriage 
License, ___________ County, Texas";
		(2)  spaces for each applicant's full name, including 
the woman's maiden surname, address, social security number, if 
any, date of birth, and place of birth, including city, county, and 
state;
		(3)  a space for indicating the document tendered by 
each applicant as proof of identity and age;
		(4)  spaces for indicating whether each applicant has 
been divorced within the last 30 days;
		(5)  printed boxes for each applicant to check "true" 
or "false" in response to the following statement:  "I am not 
presently married and the other applicant is not presently 
married.";
		(6)  printed boxes for each applicant to check "true" 
or "false" in response to the following statement:  "The other 
applicant is not related to me as:
			(A)  an ancestor or descendant, by blood or 
adoption;                      
			(B)  a brother or sister, of the whole or half 
blood or by adoption;       
			(C)  a parent's brother or sister, of the whole or 
half blood or by adoption;
			(D)  a son or daughter of a brother or sister, of 
the whole or half blood or by adoption;
			(E)  a current or former stepchild or stepparent;  
or                      
			(F)  a son or daughter of a parent's brother or 
sister, of the whole or half blood or by adoption.";
		(7)  printed boxes for each applicant to check "true" 
or "false" in response to the following statement:  "I am not 
presently delinquent in the payment of court-ordered child 
support.";
		(8)  a printed oath reading:  "I SOLEMNLY SWEAR (OR 
AFFIRM) THAT THE INFORMATION I HAVE GIVEN IN THIS APPLICATION IS 
CORRECT.";
		(9)  spaces immediately below the printed oath for the 
applicants' signatures;
		(10)  a certificate of the county clerk that:                                 
			(A)  each applicant made the oath and the date and 
place that it was made;  or
			(B)  an applicant did not appear personally but 
the prerequisites for the license have been fulfilled as provided 
by this chapter;
		(11)  spaces for indicating the date of the marriage 
and the county in which the marriage is performed;  and
		(12)  a space for the address to which the applicants 
desire the completed license to be mailed.
	(c)  An applicant commits an offense if the applicant 
knowingly provides false information under Subsection (b)(1), (2), 
(3), or (4).  An offense under this subsection is a Class C 
misdemeanor.
	(d)  An applicant commits an offense if the applicant 
knowingly provides false information under Subsection (b)(5) or 
(6).  An offense under this subsection is a Class A misdemeanor.

Added by Acts 1997, 75th Leg., ch. 7, § 1, eff. April 17, 1997.  
Amended by Acts 1997, 75th Leg., ch. 776, § 1, eff. Sept. 1, 
1997;  Acts 2005, 79th Leg., ch. 268, § 4.05, eff. Sept. 1, 2005.

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Last modified: August 10, 2007