If an applicant for a marriage license is over 18 years of age and is unable to appear in person at the register of deeds' office, the other party to the planned marriage must appear in person on behalf of the applicant and submit a sworn and notarized affidavit in lieu of the absent applicant's personal appearance.
The affidavit shall be in the following or some equivalent form:
__________, [applicant] appearing before the undersigned notary and being duly sworn, says that:
1. I, __________, [applicant's name] am applying for a license in _______ County, North Carolina, to marry _______ [name of other applicant] in North Carolina within the next 60 days and I am authorized under G.S. 51-8.2 to complete this Affidavit in Lieu of Personal Appearance for Marriage License Application.
I attach: (1) documentation that I am over 18 years of age as required in county of issuance; and (2) documentation of divorce as required by county of issuance.
2. I submit the following information in applying for a marriage license:
Name: ____________________________________________________________
First Middle Last
Residence: _________________________________________________________
State County City or Town
__________________________________________________________________
Street and Number
Inside City Limits (Yes or No): ________________________________________
Birthplace: _________________________________________________________
County & State or Country
Birth Date: ______________ Age: ____
Father: ____________________________________________________________
Name State of Birth
__________________________________________________________________
Address (if living) or Deceased
Mother: ___________________________________________________________
Name State of Birth
__________________________________________________________________
Address (if living) or Deceased
Race (Optional): ____________________________________________________
Number of this marriage: 1st, 2nd, etc. ___________________________________
Last Marriage Ended by: ______________________________________________
Death, Divorce, Annulment
Date Marriage Ended: ________________________________________________
Specify Highest Grade Completed in School (Optional): ____________________
Social Security # ______________ (If applicant does not have Social Security number, attach affidavit of ineligibility)
I hereby make application to the Register of Deeds for a Marriage License and solemnly swear that all of the statements contained in the above application are true and I further make oath that there is no legal impediment to such marriage.
_______________________
Signature of Applicant
Sworn to (or affirmed) and subscribed before me this _____ day of __________, ______.
__________________________
[Seal] Notary Public
My commission expires: ______
__________________________
[Notary's typed or printed name].
(2001-62, s. 9.)
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Last modified: March 23, 2014