San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: [John Withrow]
Occupation: [Freelance]
Date of Birth: [12/19]
Location of Birth: [Los Santos]
Current Mailing Address: [## Eclipse]
Contact Information: [###-####] or [smokie_mc_pot]
Previous Marital Status: [Single]
Number of This Marriage: [First]
Last Marriage Ended By: [N/A]
Date Last Marriage Ended: [N/A]
Legal name to be taken after marriage: [John Withrow]
Label for Marriage Certificate: [Spouse]
Proof of Identification: **Attached Document**
Signature:
[John Withrow]
Party B
- Name: [June Micheal]
Occupation: [Freelance]
Date of Birth: [08/25]
Location of Birth: [Los Santos]
Current Mailing Address: [## Eclipse]
Contact Information: [###-####] or [Owlgirlj]
Previous Marital Status: [Single]
Number of This Marriage: [First]
Last Marriage Ended By: [N/A]
Date Last Marriage Ended: [N/A]
Legal name to be taken after marriage: [June Withrow]
Label for Marriage Certificate: [Spouse]
Proof of Identification: **Attached Document**
Signature:
[June Micheal]
