Marriage Kiosk
Party 1
Spouse First Name
Spouse Middle Name
Spouse Last Name
Spouse Suffix Name
Spouse Given Name
Race
(Race)
Spouse SSN
--Select One--
AFRICAN AMERICAN
ALASKAN NATIVE
AMERICAN INDIAN
ASIAN
BLACK
CAUCASIAN
HISPANIC
MIDDLE EASTERN
MIXED RACE
PACIFIC ISLANDER
REFUSE TO ANSWER
Spouse Street Address
Spouse City
Spouse State
Spouse Zip Code
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Spouse County
Spouse Phone
Spouse Date of Birth
Spouse Birthplace
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Spouse Ever Married
Number of This Marriage
Spouse Last Marriage Ended Date
Spouse Marriage Ended
--Select One--
ANNULMENT
DEATH
DIVORCE
Party 2
Spouse First Name
Spouse Middle Name
Spouse Last Name
Spouse Suffix Name
Spouse Given Name
Race
(Race)
Spouse SSN
--Select One--
AFRICAN AMERICAN
ALASKAN NATIVE
AMERICAN INDIAN
ASIAN
BLACK
CAUCASIAN
HISPANIC
MIDDLE EASTERN
MIXED RACE
PACIFIC ISLANDER
REFUSE TO ANSWER
Spouse Street Address
Spouse City
Spouse State
Spouse Zip Code
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Spouse County
Spouse Phone
Spouse Date of Birth
Spouse Birthplace
AGUASCALIENTES (AG-MX)
ALABAMA (AL)
ALASKA (AK)
ALBERTA (AB-CAN)
AMERICAN SAMOA (AS)
ARIZONA (AZ)
ARKANSAS (AR)
ARMED FORCES AFRICA (AE-AFR)
ARMED FORCES AMERICAS (AA)
ARMED FORCES CANADA (AE-CAN)
ARMED FORCES EUROPE (AE-EUR)
ARMED FORCES MIDDLE EAST (AE-ME)
ARMED FORCES OTHERS (AE-OTHER)
ARMED FORCES PACIFIC (AP)
BAJA CALIFORNIA (BN-MX)
BAJA CALIFORNIA SUR (BS-MX)
BRITISH COLUMBIA (BC-CAN)
CALIFORNIA (CA)
CAMPECHE (CM-MX)
CHIAPAS (CP-MX)
CHIHUAHUA (CH-MX)
COAHUILA (CA-MX)
COLIMA (CL-MX)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DISTRICT OF COLUMBIA (DC)
DISTRITO FEDERAL (DF-MX)
DURANGO (DU-MX)
FLORIDA (FL)
GEORGIA (GA)
GUAM (GU)
GUANAJUATO (GT-MX)
GUERRERO (GR-MX)
HAWAII (HI)
HIDALGO (HG-MX)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
JALISCO (JA-MX)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MANITOBA (MB-CANADA)
MARYLAND (MD)
MASSACHUSETTS (MA)
MEXICO (MX-MX)
MICHIGAN (MI)
MICHOACAN (MC-MX)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
MORELOS (MR-MX)
NAYARIT (NA-MX)
NEBRASKA (NE)
NEVADA (NV)
NEW BRUNSWICK (NB-CAN)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NEWFOUNDLAND (NL-CAN)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
NORTHERN MARIANA ISLANDS (MP)
NORTHWEST TERRITORY (NT-CAN)
NOVA SCOTIA (NS-CAN)
NUEVO LEON (NL-MX)
NUNAVUT (NU-CAN)
OAXACA (OA-MX)
OHIO (OH)
OKLAHOMA (OK)
ONTARIO (ON-CAN)
OREGON (OR)
PENNSYLVANIA (PA)
PRINCE EDWARD ISLAND (PE-CAN)
PUEBLA (PU-MX)
PUERTO RICO (PR)
QUEBEC (QC-CAN)
QUERETARO (QE-MX)
QUINTANA ROO (QR-MX)
RHODE ISLAND (RI)
SAN LUIS POTOSI (SL-MX)
SASKATCHEWAN (SK-CAN)
SINALOA (SI-MX)
SONORA (SO-MX)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TABASCO (TB-MX)
TAMAULIPAS (TM-MX)
TENNESSEE (TN)
TEXAS (TX)
TLAXCALA (TL-MX)
UNITED STATES MINOR OUTLYING ISLANDS (UM)
UTAH (UT)
VERACRUZ (VE-MX)
VERMONT (VT)
VIRGIN ISLANDS (VI)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
YUCATAN (YU-MX)
YUKON TERRITORY (YT-CAN)
ZACATECAS (ZA-MX)
Spouse Ever Married
Number of This Marriage
Spouse Last Marriage Ended Date
Spouse Marriage Ended
--Select One--
ANNULMENT
DEATH
DIVORCE
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