San Andreas Judicial Branch
Marriage License Application
"HERE FOR YOU | SAFE FOR YOU"
Party A
- Name: Damon Somerhalder
Occupation: freelance
Date of Birth: 26/06/2000
Location of Birth: Rhode Island
Current Mailing Address: N/a
Contact Information: [email protected]
Previous Marital Status: Single
Number of This Marriage: first
Last Marriage Ended By: [Divorce, Dissolution, Annulment, Death, N/A]
Date Last Marriage Ended: [01/JAN/2000, N/A]
Legal name to be taken after marriage: Damon Mizuno
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**
Signature:
[Damon Somerhalder]
Party B
- Name: Naomi Mizuno
Occupation: Gold digger
Date of Birth: 22/12/1999
Location of Birth: Kyoto Japan
Current Mailing Address: n/a
Contact Information: 2921448
Previous Marital Status: single
Number of This Marriage: first
Last Marriage Ended By: [Divorce, Dissolution, Annulment, Death, N/A]
Date Last Marriage Ended: [01/JAN/2000, N/A]
Legal name to be taken after marriage: Naomi Mizuno
Label for Marriage Certificate: bride
Proof of Identification: **Attached Document**
Signature:
Naomi Mizuno