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Juan Fernandez-Barquin, Esq.
Clerk of the Court and Comptroller
Miami-Dade County
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How did the Spouse's Last Marriage End
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Date Last Marriage Ended
Have you taken a premarital Class
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No
Gender
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Spouse's Info for the Online Pre-Application
* Enter information as it appears on your legal identification.
First Name
Middle Name
Last Name
Suffix
Select...
Jr
Sr
II
III
IV
V
VI
Maiden Surname
Date of Birth
State or Country of Birth
Select...
Afghanistan
Alabama
Alaska
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Arizona
Arkansas
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
BRITISH Virgin Island
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
California
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Colorado
Comoros
Congo
Connecticut
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Delaware
Denmark
District of Columbia
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
ENGLAND
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
Florida
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hawaii
Heard Island and Mcdonald Islands
Honduras
Hong Kong
Hungary
Iceland
Idaho
Illinois
India
Indiana
Indonesia
Iowa
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kansas
Kazakhstan
Kentucky
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Louisiana
Luxembourg
Macao
MACEDONIA
Madagascar
Maine
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Maryland
Massachusetts
Mauritania
Mauritius
Mayotte
Mexico
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Monaco
Mongolia
Montana
Montenegro
Montserrat
Morocco
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Myanmar
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Nauru
Nebraska
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Nevada
New Caledonia
New Hampshire
New Jersey
New Mexico
New York
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Carolina
North Dakota
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Pakistan
Palau
Palestinian Territory
Panama
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Paraguay
Pennsylvania
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Georgia
REPUBLIC OF KOSOVO
REPUBLIC OF MOLDOVA
Reunion
Rhode Island
Romania
Russian Federation
Rwanda
Saint Croix
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
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Samoa
San Marino
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Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Carolina
South Dakota
SOUTH GEORGIA
South Korea
Spain
Sri Lanka
Sudan
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Tennessee
Texas
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Utah
Uzbekistan
Vanuatu
VATICAN CITY STATE
Venezuela
Vermont
Vietnam
Virgin Islands
Virginia
Wallis and Futuna
Washington
Washington DC
West Virginia
Western Sahara
Wisconsin
Wyoming
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Do you have a U.S. Social Security Number?
Yes
No
City of Residence
County of Residence
State or Country of Residence
Select...
Afghanistan
Alabama
Alaska
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Arizona
Arkansas
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
BRITISH Virgin Island
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
California
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Colorado
Comoros
Congo
Connecticut
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Delaware
Denmark
District of Columbia
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
ENGLAND
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
Florida
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hawaii
Heard Island and Mcdonald Islands
Honduras
Hong Kong
Hungary
Iceland
Idaho
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India
Indiana
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Iowa
Iran
Iraq
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Israel
Italy
Jamaica
Japan
Jordan
Kansas
Kazakhstan
Kentucky
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Louisiana
Luxembourg
Macao
MACEDONIA
Madagascar
Maine
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Maryland
Massachusetts
Mauritania
Mauritius
Mayotte
Mexico
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Monaco
Mongolia
Montana
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nebraska
Nepal
Netherlands
Netherlands Antilles
Nevada
New Caledonia
New Hampshire
New Jersey
New Mexico
New York
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Carolina
North Dakota
North Korea
Northern Mariana Islands
Norway
Ohio
Oklahoma
Oman
Oregon
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Pennsylvania
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Georgia
REPUBLIC OF KOSOVO
REPUBLIC OF MOLDOVA
Reunion
Rhode Island
Romania
Russian Federation
Rwanda
Saint Croix
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Carolina
South Dakota
SOUTH GEORGIA
South Korea
Spain
Sri Lanka
Sudan
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Tennessee
Texas
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Utah
Uzbekistan
Vanuatu
VATICAN CITY STATE
Venezuela
Vermont
Vietnam
Virgin Islands
Virginia
Wallis and Futuna
Washington
Washington DC
West Virginia
Western Sahara
Wisconsin
Wyoming
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Identification type
Select...
Social Security Number
Passport Number
Driver License Number
Alien Number
Other
Identification Number
Verify Identification Number
Number of this Marriage
How did the Spouse's Last Marriage End
Select...
Divorce
Death
Annul
Date Last Marriage Ended
Have you taken a premarital Class
Yes
No
Gender
Male
Female
General Information
Mailing Address
City or Town
US State or Foreign Country
Select...
Afghanistan
Alabama
Alaska
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Arizona
Arkansas
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
BRITISH Virgin Island
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
California
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Colorado
Comoros
Congo
Connecticut
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Delaware
Denmark
District of Columbia
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
ENGLAND
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
Florida
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Hawaii
Heard Island and Mcdonald Islands
Honduras
Hong Kong
Hungary
Iceland
Idaho
Illinois
India
Indiana
Indonesia
Iowa
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kansas
Kazakhstan
Kentucky
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Louisiana
Luxembourg
Macao
MACEDONIA
Madagascar
Maine
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Maryland
Massachusetts
Mauritania
Mauritius
Mayotte
Mexico
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Monaco
Mongolia
Montana
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nebraska
Nepal
Netherlands
Netherlands Antilles
Nevada
New Caledonia
New Hampshire
New Jersey
New Mexico
New York
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Carolina
North Dakota
North Korea
Northern Mariana Islands
Norway
Ohio
Oklahoma
Oman
Oregon
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Pennsylvania
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Georgia
REPUBLIC OF KOSOVO
REPUBLIC OF MOLDOVA
Reunion
Rhode Island
Romania
Russian Federation
Rwanda
Saint Croix
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Carolina
South Dakota
SOUTH GEORGIA
South Korea
Spain
Sri Lanka
Sudan
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Tennessee
Texas
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Utah
Uzbekistan
Vanuatu
VATICAN CITY STATE
Venezuela
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Vietnam
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Virginia
Wallis and Futuna
Washington
Washington DC
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Yugoslavia
Zaire
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