| Marriage License and Certificate | |||||||
| By this license the Bridegroom and Bride are hereby granted permission to enter into the bonds of Marriage and the Rites of Matrimony as Husband and Wife to be Solemnized before Witnesses and certified by a Minister of the Gospel according to the consent of the parties and under the authority of Canon Law, the Will of God. | |||||||
|   | Bridegroom and Husband to be |   | Bride and Wife to be | ||||
| Names [Maiden] |   |   |   | ||||
| Signature |   |   |   | ||||
| Address |   |   |   | ||||
| City |   |   |   | ||||
| State/Prov Country |
  |   |   | ||||
| Date Born | Day, Month, Year |   | Day, Month, Year Day | ||||
| Birth place |   |   |   | ||||
| Father |   |   |   | ||||
| Signature |   |   |   | ||||
| Date Signed | Day, Month, Year |   | Day, Month, Year | ||||
| Mother |   |   |   | ||||
| Signature |   |   |   | ||||
| Date Signed | Day, Month, Year |   | Day, Month, Year | ||||
| Marriage Certification for Official use only. By the Canon Law, His Holy Church and its auxiliary Churches. | |||||||
| seals: |   | Location of Ceremony |   | ||||
|   |   | ||||||
|   | Date of Ceremony | Day, Month, Year | |||||
|   | Time of Ceremony |   | |||||
|   | The signature of two witnesses to the ceremony are required. Additional signatures on the back of this form. | ||||||
|   | Witness Signature | ||||||
|   | Signed Day, Month, Year | ||||||
|   | Witness Signature | ||||||
|   | Signed Day, Month, Year | ||||||
|   | A minister in attendance must sign as witness for the Church to this binding consensual agreement between two people as Husband and Wife under the authority of God the Father. | ||||||
|   | Minister | ||||||
|   | Signature | ||||||
|   | Signed Day, Month, Year | ||||||
|   | Wherefore they are no more twain, but one flesh. What therefore God hath joined together, let not man put asunder. Matthew 19:6. HHC and Canon Law | ||||||