Miami dade county clerk of courts marriage pre application

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Miami-Dade County-Clerk of Courts Marriage Pre-Application Worksheet

Please complete the following information which is required to process your marriage license. Your Social

Security number is required by FSS #741.04. Information noted with an * is required by vital statistics and

will not be recorded.

Groom/Spouse Information:

1a. First Name:

1b. Middle Name:

1c. Last Name:

1d. Maiden Surname (if different):

2a. Residence (City, Town, or Location):

2b. Residence County:

2c. Residence State or Foreign Country:

3a. Date of Birth (Mo., Day, Yr.): _______________/______/________

5. *Sex: Male Female

8a. *Number of this marriage: ___ Enter `1' for first marriage and skip 8b and 8c.

Bride/Spouse Information:

9a. First Name:

10a. Residence (City, Town, or Location):

3b. State or Country of Birth:

4. Social Security Number:

6. Did you complete a premarital preparation course? Yes No If yes, please attach the completion form.

7. If Bride/Spouse is not present, explain: ______________________________________

8b.*If previously married, enter date ended (Mo., Day, Yr.,): ____________/_____/________

8c. *If previously married, check how ended: Divorce Death Annulment .

9b. Middle Name: 10b. Residence County:

9c. Last Name: 9d. Maiden Surname ( If different) : 10c. Residence State or Foreign Country:

11a. Date of Birth (Mo., Day, Yr.): _____________/______/_________

13. *Sex: Male Female

16a. *Number of this marriage: _______ Enter `1' for first marriage and skip 16b and 16c.

General Information:

17a. Mailing Street:

11b. State or Country of Birth:

12. Social Security Number:

14. Did you complete a premarital preparation course? Yes No If yes, please attach the completion form.

15. If Groom/Spouse is not present, explain: _____________________________________

16b.*If previously married, enter date ended (Mo., Day, Yr.):

____________/_____/_______

16c.*If previously married, check how ended: Divorce Death Annulment

.

17b. Mailing City:

17c. Mailing State:

17d. Mailing Zip:

18. Telephone:

19. E-mail Address:

20. Do you want our clerk to marry you today? Yes No If yes, you must be eligible and pay a ceremony fee.

CLK/CT 693 Rev. 05/19

Clerk's web address: miami-

Miami-Dade County Clerk of Court Marriage Pre-Application Worksheet

OFFICE HOURS AND LOCATION: 9:00 A.M. TO 4:00 P.M., MONDAY THROUGH FRIDAY (APPLICANTS ARE REQUESTED TO ARRIVE BY 3:30 P.M.). NOTE: OFFICE WILL BE CLOSED DURING LEGAL HOLIDAYS.

Central Marriage License Bureau: North Dade Justice Center: Joseph Caleb Center Court: Miami Beach: South Dade Government Center: Coral Gables: Hialeah:

601 N.W. 1st Court 19th Floor 15555 Biscayne Blvd. 5400 N.W. 22nd Avenue 1130 Washington Ave. 10710 S.W. 211th Street 3100 Ponce De Leon Blvd. 11 East 6th Street

Room 1900 Room 100 Room 103 Room 200 Room 1200

Room 100

MARRIAGE LICENSE SERVICES AND FEES:

Marriage Application ........................ $ 86.00 Ceremony ..................................... $ 30.00 Certified Copy................................. $ 7.00 Search Fee .................................... $ 2.00 Additional Certified Copy Each ........... $ 7.00 Search Fee (per year prior to 1972).......... $ 2.00

Deluxe Marriage Certificate................ $ 10.00 Certificate of Status Search ............... $ 9.00 Duplicate .................................... $ 30.00 Amendment ................................. $ 30.00

(Amendments Only at Central Office)

PAYMENTS ARE ACCEPTED IN CASH, VISA, MASTER CARD, AMEX, CASHIERS CHECKS, AND MONEY ORDERS. NO PERSONAL CHECKS ARE ACCEPTED FOR APPLICATION OR CEREMONY FEE.

MARRIAGE LICENSE INFORMATION: BOTH PARTIES (BRIDE/SPOUSE AND GROOM/SPOUSE) MUST APPLY IN PERSON. A CEREMONY MUST BE PERFORMED WITHIN SIXTY (60) DAYS OF THE ISSUANCE OF THE LICENSE. IF EITHER APPLICANT HAS BEEN PREVIOUSLY MARRIED, EXACT DATE OF LAST DIVORCE, DEATH OR ANNULMENT MUST BE PROVIDED. IDENTIFICATION PAPERS: ONE (1) VALID ID IS REQUIRED WITH THE APPLICANT'S PICTURE, SIGNATURE, AND DATE OF BIRTH. (DRIVER'S LICENSE, PASSPORT, MILITARY ID, ALIEN REGISTRATION OR STATE OF FLORIDA ID CARDS ARE ACCEPTABLE). A SOCIAL SECURITY NUMBER IS ONLY REQUIRED IF ONE HAS BEEN ISSUED TO YOU.

FOR FLORIDA RESIDENTS EVERY MARRIAGE LICENSE ISSUED WILL HAVE A 3-DAY WAITING PERIOD. AT THE POINT OF ISSUANCE THE APPLICANTS WILL BE HANDED THE ORIGINAL LICENSE TO TAKE WITH THEM. THE LICENSE WILL STATE THE EFFECTIVE AND EXPIRATION DATE. THE COUPLE MAY ELECT TO TAKE A PRE-MARITAL COURSE THROUGH A REGISTERED PROVIDER. BY PRESENTING A COURSE COMPLETION CERTIFICATE THE COUPLE WILL RECEIVE A $25.00 DISCOUNT AND THE 3-DAY WAITING PERIOD WILL BE WAIVED. A LIST OF PROVIDERS MAY BE VIEWED ONLINE OR AT ANY OF THE COURT LOCATIONS LISTED ABOVE. THE COURT DOES NOT PROVIDE THE COURSE.

APPLICANTS 17 YEARS OF AGE: IN ADDITION TO THE ABOVE LISTED REQUIREMENTS, THE FOLLOWING DOCUMENTS MUST BE PRESENTED AT THE TIME OF APPLICATION.

MINOR'S BIRTH CERTIFICATE SHOWING PARENTS NAMES PARENTAL CONSENT MUST BE OBTAINED FROM BOTH PARENTS UNLESS PROOF OF SOLE CUSTODY CAN BE PROVIDED BY A DEATH CERTIFICATE, DIVORCE DECREE OR COURT ORDER.

APPLICANTS UNDER 17 YEARS OF AGE: PER FLORIDA STATUTE 741.04, WE ARE PROHIBITED FROM ISSUING A MARRIAGE LICENSE TO ANY PERSON UNDER 17 YEARS OF AGE.

FOR FURTHER ASSISTANCE AND INFORMATION YOU MAY CALL THE AUTOMATED INFORMATION SERVICE AT (305) 275-1155 AND PRESS #5 FOR MARRIAGE LICENSE INFORMATION.

AMERICANS WITH DISABILITIES ACT OF 1990 If you are a person with a disability who needs any accommodation to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact the Miami-Dade County Clerk of Courts ADA Coordinator, Bibiana Candame at Courthouse East 22 N.W. 1st Street, 3rd Floor Miami, Florida 33128, E-mail: coc-ada@, telephone numbers (305) 679-1000 for voice and (305) 679-1022 for fax, within two (2) working days of your receipt of this document; if you are hearing or voice impaired, call 711.

CLK/CT 693 Rev. 05/19

Clerk's web address: miami-

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