Instructions
- All items are required except 'Race' and 'Education'.
'Last Marriage' information may be required depending on value of 'Number of this Marriage.'
- Enter 'NA' for items that are not applicable.
- Enter Country information into the respective State field for persons whose current
residence is outside the United States.
Return to Register of Deeds Marriage Information page
.
Male's Information
Female's Information
First Name
Middle Name
Last Name
ESQ
I
II
III
IV
JR
SR
V
VI
Suffix
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
Residence State
ALAMANCE
BUNN
CHATHAM
CUMBERLAND
DAVIDSON
DURHAM
FRANKLIN
GRANVILLE
HALIFAX
HARNETT
HENDERSON
LEE
NA
NASH
NEW HANOVER
ORANGE
PENDER
PERSON
SAMPSON
WAKE
WAYNE
WILSON
YOUNGSVILLE
Residence County
APEX
BURLINGTON
BUTNER
CARRBORO
CARY
CHAPEL HILL
COATES
CREEDMOOR
CURRIE
DURHAM
EFLAND
ENFIELD
ERWIN
FAYETTEVILLE
FRANKLIN
FRANKLINTON
FUQUAY VARINA
GARNER
GRAHAM
HAMPSTEAD
HENDERSON
HILLSBOROUGH
HURDLE MILLS
KITTRELL
KNIGHTDALE
LEASBURG
LEXINGTON
LOUISBURG
MEBANE
MORRISVILLE
NA
OXFORD
PIKEVILLE
PITTSBORO
PRINCETON
RALEIGH
ROCKY MOUNT
ROSEBORO
ROXBORO
SANFORD
SEMORA
STEM
TIMBERLAKE
VANCE
WILSON
WILMINGTON
ZEBULON
Residence City or Town
Yes
No
Inside City Limits?
Street & Number
ALAMANCE
BUNN
CHATHAM
CUMBERLAND
DAVIDSON
DURHAM
FRANKLIN
GRANVILLE
HALIFAX
HARNETT
HENDERSON
LEE
NA
NASH
NEW HANOVER
ORANGE
PENDER
PERSON
SAMPSON
WAKE
WAYNE
WILSON
YOUNGSVILLE
County of Birth
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
State of Birth
Date of Birth (MM/DD/YYYY)
Father's Name
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
State of Birth
Address (If Living)
Mother's Maiden Name
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
State of Birth
Address (If Living)
Race
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Ten or more
Number of
this Marriage
Anullment
Death
Divorce
If Previously Married, specify
Last Marriage Ended By
None
Elementary - 1
Elementary - 2
Elementary - 3
Elementary - 4
Elementary - 5
Elementary - 6
Elementary - 7
Elementary - 8
High School - 1
High School - 2
High School - 3
High School - 4
College - 1
College - 2
College - 3
College - 4
College - 5
Highest Level of
Education Completed
Date the Last Marriage
ended (MM/DD/YYYY)
First Name
Middle Name
Last Name
Maiden Surname
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
Residence State
ALAMANCE
BUNN
CHATHAM
CUMBERLAND
DAVIDSON
DURHAM
FRANKLIN
GRANVILLE
HALIFAX
HARNETT
HENDERSON
LEE
NA
NASH
NEW HANOVER
ORANGE
PENDER
PERSON
SAMPSON
WAKE
WAYNE
WILSON
YOUNGSVILLE
Residence County
APEX
BURLINGTON
BUTNER
CARRBORO
CARY
CHAPEL HILL
COATES
CREEDMOOR
CURRIE
DURHAM
EFLAND
ENFIELD
ERWIN
FAYETTEVILLE
FRANKLIN
FRANKLINTON
FUQUAY VARINA
GARNER
GRAHAM
HAMPSTEAD
HENDERSON
HILLSBOROUGH
HURDLE MILLS
KITTRELL
KNIGHTDALE
LEASBURG
LEXINGTON
LOUISBURG
MEBANE
MORRISVILLE
NA
OXFORD
PIKEVILLE
PITTSBORO
PRINCETON
RALEIGH
ROCKY MOUNT
ROSEBORO
ROXBORO
SANFORD
SEMORA
STEM
TIMBERLAKE
VANCE
WILSON
WILMINGTON
ZEBULON
Residence City or Town
Yes
No
Inside City Limits?
Street & Number
ALAMANCE
BUNN
CHATHAM
CUMBERLAND
DAVIDSON
DURHAM
FRANKLIN
GRANVILLE
HALIFAX
HARNETT
HENDERSON
LEE
NA
NASH
NEW HANOVER
ORANGE
PENDER
PERSON
SAMPSON
WAKE
WAYNE
WILSON
YOUNGSVILLE
County of Birth
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
State of Birth
Date of Birth (MM/DD/YYYY)
Father's Name
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
State of Birth
Address (If Living)
Mother's Maiden Name
ALASKA
ALABAMA
ARKANSAS
ARIZONA
CALIFORNIA
COLORADO
CONNECTICUT
DISTRICT OF COLUMBIA
DELAWARE
FLORIDA
GEORGIA
HAWAII
IOWA
IDAHO
ILLINOIS
INDIANA
KANSAS
KENTUCKY
LOUISIANA
MASSACHUSETTS
MARYLAND
MAINE
MICHIGAN
MINNESOTA
MISSOURI
MISSISSIPPI
MONTANA
NORTH CAROLINA
NORTH DAKOTA
NEBRASKA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEVADA
NEW YORK
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VIRGINIA
VERMONT
WASHINGTON
WISCONSIN
WEST VIRGINIA
WYOMING
XX
State of Birth
Address (If Living)
Race
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Ten or more
Number of
this Marriage
Anullment
Death
Divorce
If Previously Married, specify
Last Marriage Ended By
None
Elementary - 1
Elementary - 2
Elementary - 3
Elementary - 4
Elementary - 5
Elementary - 6
Elementary - 7
Elementary - 8
High School - 1
High School - 2
High School - 3
High School - 4
College - 1
College - 2
College - 3
College - 4
College - 5
Highest Level of
Education Completed
Date the Last Marriage
ended (MM/DD/YYYY)
Submit Application
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