Pinellas County Marriage License Application

Marriage License Application

MARRIAGE LICENSES ISSUED BY THE CLERK ARE VALID FOR SIXTY (60) DAYS.
The Clerk shall not be liable for errors contained herein or for any damages in connection with the use of the information contained herein. If you choose not to accept the conditions stated above please exit this application.
Your Marriage License and Certificate will be prepared with your legal name exactly as it appears on the identification presented.

Please fill in Party 1's information.

Your name must be exactly as it appears on the identification to be presented at time of issuance.

First Name

Middle Name

Last Name

Maiden/Surname (use Current Last Name if none):

Suffix

Race

Current City of Residence

Current State of Residence

Country of Residence

Current County of Residence

Date of Birth (MM/DD/YYYY)

Social Security Number (XXX-XX-XXXX)

Birthplace State

Birthplace Country

Previously Married?

Number of this Marriage

Last Marriage Ended By

Date Previous Marriage Ended: 'MM/DD/YYYY'

Please fill in Party 2's information.