9/20/2016
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THE CITY OF NEW YORK
OFFICE OF THE CITY CLERK
MARRIAGE LICENSE BUREAU
MAIL REQUEST FOR MARRIAGE RECORDS
(From 1950 to present)*
NOTE:
Marriage records less than fifty (50) years old will be released only:
(a)
to parties to the marriage;
(b)
to persons presenting written authorization from one of the parties to the marriage; or
(c)
to attorneys in cases where such records are required as evidence (When making a written
request, attorneys must utilize their official stationery and must indicate the party or parties
that they represent, the nature of any pending action, and make an affirmative statement that
such
records are required as evidence in such proceedings.)
(PRINT CLEARLY IN BLACK INK)
Date of marriage
Borough where the
ceremony: license was issued:
If uncertain, specify other years you want searched: License No.
Bride/Groom/Spouse A
Birth
Full legal name before marriage:
date:
Bride/Groom/Spouse B
Birth
Full legal name before marriage:
date:
Reason search & copy are needed: Number of copies requested:
Name of person requesting search: Your relationship to either spouse: Your telephone no:
Your address:
Street Apt No. City State
Zip Code
I solemnly swear, under penalty of perjury, that the foregoing information is true and correct and
(CHECK ONE BOX ONLY)
(_)
I am a party to the marriage.
(EITHER SPOUSE)
(_)
The written authorization from a party to the marriage is a genuine request from such party and such party
has
authorized me to request and receive such records.
(THIRD PARTY WITH WRITTEN AUTHORIZATION ONLY)
(_)
I am an attorney in good standing or a representative thereof and such records are required as evidence
in a
legal proceeding.
(ATTORNEYS OR THEIR REPRESENTATIVES ONLY)
(_)
I am the__________ (relation) of the above-named person and the marriage record will be used
for a proper
legal purpose.
(
RELEASE OF RECORD UNDER THIS SECTION MUST BE APPROVED BY LEGAL DEPT.
)
(_) I am a law enforcement officer or_______________ and the marriage record will be used for a proper purpose.
(LAW ENFORCEMENT PERSONNEL ONLY)
X
Signature (DO NOT PRINT)
Date:_______________________
*Records from 1866 to 1949 can be obtained from the Municipal Archives, 31 Chambers Street, Rm. 103, New York, NY 10007.
Call 311 or (212) NEW YORK if outside New York.