San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: [Luck Shelby]
Occupation: [BurgerShot Employee]
Date of Birth: [20/APR/2000]
Location of Birth: [Los Santos]
Current Mailing Address: [Penthouse Suite 2, Eclipse Towers]
Contact Information: [###-####] or [[email protected]]
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: [Luck Shelby]
Label for Marriage Certificate: [Spouse]
Proof of Identification: **Attached Document**
Signature:
[Luck Shelby]
Party B
- Name: [Ariana Cortez]
Occupation: [Job]
Date of Birth: [11/Sep/1999]
Location of Birth: [Vice City]
Current Mailing Address: [Penthouse Suite 2, Eclipse Tower]
Contact Information: [4313455] or [Email Address]
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: [Ariana Shelby]
Label for Marriage Certificate: [Spouse]
Proof of Identification: **Attached Document**
Signature:
[Ariana Cortez]










