WILLIAM DONALD SCHAEFER, Governor

Ch. 123

place of residence is ...................; WHOSE SOCIAL SECURITY

NUMBER IS-----------; and who is (state here whether single,

widow, or divorced, as the case may be), and who are .......

(state here also whether the parties to be married are in any way

related). Given under my hand and seal of the Circuit Court for

............., at ............. this ........... day of

.................. A.D., one thousand nine hundred and

ii

(2) A license shall contain a statement that the
license is valid only:

(i) for 6 months from the date it is issued;
and

(ii) in the county in which it is issued.

(b) (1) Attached to a license shall be 2 certificate forms
that:

(i) read, "I hereby certify that on this

............ day of ...................., one thousand nine

hundred and .... at .............., ............... (state here

name of husband) and ............... (state here name of wife)

were by me united in marriage in accordance with the license

issued by the Clerk of the Circuit Court for .................";

[and]

(ii) provide a space for the signature of the
authorized official who performs the marriage ceremony; AND

(III) PROVIDE SPACE'S FOR THE SOCIAL SECURITY
NUMBERS OF THE PARTIES.

(2) Attached to a license, in the case of a Society
of Friends marriage ceremony, shall be 2 certificate forms that:

(i) read, "We hereby certify that on this

.......... day of .........., one thousand nine hundred and

........... at ........... we, ............... (state here name

of husband) and ............... (state here name of wife) were

united in marriage in accordance with the ceremony of the Society
of Friends and in accordance with the license issued by the Clerk
of the Circuit Court for ........"; [and]

(ii) provide spaces for the signatures of the
parties and the 2 overseers of the marriage ceremony; AND

(III) PROVIDE SPACES FOR THE SOCIAL SECURITY
NUMBERS OF THE PARTIES.

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