Marriage Kiosk
Party 1 Information
First Name
(Primer Nombre)
Middle Name
(Segundo)
Last Name
(Apellido)
Suffix
(Sufijo)
Maiden/Given Name
(Appelido de soltera)
Race
(Race)
SSN/A-Number
(Seguro Social)
--Select One--
AFRICAN AMERICAN
ALASKAN NATIVE
AMERICAN INDIAN
ASIAN
CAUCASIAN
HISPANIC
MIDDLE EASTERN
OTHER
PACIFIC ISLANDER
UNDISCLOSED
Street Address
City
(Ciudad)
State
(Estado o Pais)
Zip Code
(Codigo Postal)
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)
County
(Condado)
Phone
(Teléfono)
Date of Birth
(Fecha de Nacimiento - mm/dd/yyyy)
Birth State
(Nacimiento Estado o Pais)
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)
Ever Married
Number of this Marriage
(Número de este matrimonio)
Last Marriage Ended Date
(Fecha de matrimonio anterior - mm/dd/yyyy)
Marriage Ended
(Ultimo Martrimonio Termino Por)
--Select One--
Annulment
Death
Divorce
Party 2 Information
First Name
(Primer Nombre)
Middle Name
(Segundo)
Last Name
(Apellido)
Suffix
(Sufijo)
Maiden / Given Name
(Appelido de soltera)
Race
(Race)
SSN/A-Number
(Seguro Social)
--Select One--
AFRICAN AMERICAN
ALASKAN NATIVE
AMERICAN INDIAN
ASIAN
CAUCASIAN
HISPANIC
MIDDLE EASTERN
OTHER
PACIFIC ISLANDER
UNDISCLOSED
Street Address
(Direccion)
City
(Ciudad)
State
(Estado)
Zip Code
(Codigo Postal)
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)
County
(Condado)
Phone
(Teléfono)
Date of Birth
(Fecha de Nacimiento - mm/dd/yyyy)
Birth State
(Nacimiento Estado o Pais)
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)
Ever Married
(Anteriorment se casó?)
Number of this Marriage
(Número de este matrimonio)
Last Marriage Ended Date
(Fecha de matrimonio anterior - mm/dd/yyyy)
Marriage Ended
(Ultimo Martrimonio Termino Por)
--Select One--
Annulment
Death
Divorce
2025 - Marriage Kiosk
