9/25/2016 - Message Of The Day: Welcome to the Loudoun County Clerk's Online Marriage License Application. Please complete all information, use full names for everyone including parents. Your application will remain on file electronically for 14 calendar days. The couple must appear together in person at the Clerk's office Marriage License Counter with valid state or government Photo ID’s (i.e. valid driver’s license, passport or military identification). The license fee is $30.00 and must be made in cash. Marriage licenses are issued between the hours of 8:00 a.m. and 4:00 p.m.
COMMONWEALTH OF VIRGINIA
MARRIAGE REGISTER

1. FULL NAME    1a. SOCIAL SECURITY #
SPOUSE
2. AGE
3. DATE OF BIRTH (Month/Day/Year)
4. PLACE OF BIRTH (state or foreign country)
5. RACE

 
6. NUMBER OF THIS MARRIAGE

7. MARITAL STATUS (if previously married)

8. EDUCATION                       Elementary or Secondary
(Specify only highest grade completed)  (0-12)
                                                                  
College
(1-4 or 5+)
9a. USUAL RESIDENCE: STREET ADDRESS OR RT. NUMBER

9b. CITY OR TOWN OF RESIDENCE 9c. COUNTY (if independent city, leave blank) 9d. STATE (OR FOREIGN COUNTRY)
10. FULL NAME OF FATHER (First, Middle, Last)
11. FULL MAIDEN NAME OF MOTHER

12. PRESENT NAME    MAIDEN SURNAME (if different)
12a. SOCIAL SECURITY #
SPOUSE
13. AGE
14. DATE OF BIRTH (Month/Day/Year)
15. PLACE OF BIRTH (state or foreign country)
16. RACE

 
17. NUMBER OF THIS MARRIAGE

18. MARITAL STATUS (if previously married)

19. EDUCATION                      Elementary or Secondary
(Specify only highest grade completed)  (0-12)
                                                                  
College
(1-4 or 5+)
20a. USUAL RESIDENCE: STREET ADDRESS OR RT. NUMBER

20b. CITY OR TOWN OF RESIDENCE 20c. COUNTY (if independent city, leave blank) 20d. STATE (OR FOREIGN COUNTRY)
21. FULL NAME OF FATHER (First, Middle, Last)
22. FULL MAIDEN NAME OF MOTHER

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