State of Delaware

New Castle County – Clerk of the Peace

Marriage License Application

Applicant 1 – Personal Information

Full Legal Name Date of Birth Place of Birth Gender Current Address Phone Number Email Address

Social Security Number (Last 4) Required for Vital Records Father’s Full Name Mother’s Full Maiden Name Number of Previous Marriages Most Recent Marriage Ended By

Applicant 2 – Personal Information

Full Legal Name Date of Birth Place of Birth Gender Current Address Phone Number Email Address

Social Security Number (Last 4) Required for Vital Records Father’s Full Name Mother’s Full Maiden Name Number of Previous Marriages Most Recent Marriage Ended By

Marriage Details

Intended Date of Marriage City or Town of Ceremony (Delaware) Ceremony Type Officiant Name

Identification & Eligibility

Government Issued ID Type ID Number Are both applicants at least 18 years of age? Are the applicants related by blood?

Affirmation & Oath

We affirm under penalty of perjury that the information provided is true and correct and that we are legally eligible to be married under Delaware law.