certified copy of marriage record request

Office of John F. Warren County Clerk
Dallas County, Texas
www.DallasCounty.org
CERTIFIED COPY OF MARRIAGE RECORD REQUEST
(Copias de licencia de matrimonio)
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FEES AND INFORMATION
Certified Marriage Records are $10.00 per copy
CASH, MONEY ORDER, or DEBIT/CREDIT in person
(A $3.95 charge will be added for Debit/Credit)
MONEY ORDER ONLY by mail
Non-refundable fee of $10.00 for searched requests
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COSTO Y INFORMACION
Copias Certificada son $10.00 por licencia
EFFECTIVO, MONEY ORDER, Y CREDITO/DEBIT in
persona. ($3.95 mas para Debit/Credito)
SOLO MONEY ORDEN por correo
No regresamos fondos por servicio
***MARRIAGE RECORD INFORMATION***
DALLAS COUNTY ONLY
Date of
Marriage:
(Fecha de matrimonio)
[#
]
Copies Requested
Month/Mes de matrimonio
Day/Dia de matrimonio
Year/Año de matrimonio
First/Primer Nombre
Middle/Segundo
Last Name/Appellido
First/Primer Nombre
Middle/Segundo
Maiden Last Name/Appellido de Soltera
Marriage
Applicant 1
(Aplicante 1)
Marriage
Applicant 2
(Aplicante 2)
Other Last Name/Apellido Anterior
***YOUR INFORMATION***
Your relationship to
above record
(Informacion de solicitante)
[ ] Spouse
[ ] Officiant
[ ] Single Status
[ ] Other
Name:
(Nombre)
First/Primer nombre de solicitante
Home
address:
# Street/Calle
(Domicilio)
Phone #:
(Telefono)
Middle/Segundo
(
)
[ ] SAME AS ABOVE
Mailing address if different from above:
(Residencia de domicilio es diferente)
Apt #
City/Ciudad
Zip/Codigo
(for Receipt):
First/Primer nombre
(Must sign to process)
Apt #
Date
Middle/Segundo
City/Ciudad
Last/Apellido
State/Estado
Zip/Codigo
Would you like a paper receipt?
YES
NO
Would you like a receipt emailed?
YES
NO
Mail your form and money order to:
(Please allow 2-4 weeks to process by mail)
State/Estado
E-mail
# Street/Calle
Dallas County Clerk’s Office
ATTN: Marriage License
509 Main Street Suite #200
Dallas, TX 75202
Last Name/Appellido
OFFICE USE ONLY
Issuing
Clerk
Amount
Receipt
License #
Year
Volume
Page
Form revised 02/02/2015 DCCYAWOT