SUBJECT ______________________________________ SPOUSE _______________________________________________

VOTER REGISTRATION

NAME ________________________________________________________________________________________________

ADDRESS _____________________________________________________________________________________________

CITY/ZIP ____________________________________________________________________________________________

DATE OF BIRTH _____________________ SSN _____________________________________________________________

PHONE # ___________________________________

MARRIAGE LICENSE

HUSBAND NAME ________________________________ WIFE NAME ____________________________________________

ADDRESS _____________________________________ ADDRESS ______________________________________________

CITY/ZIP ____________________________________ CITY/ZIP _____________________________________________

PROOF OF ID _________________________________ PROOF OF ID __________________________________________

DATE OF BIRTH _______________________________ DATE OF BIRTH ________________________________________

SSN _________________________________________ SSN __________________________________________________

PHONE # _____________________________________ PHONE # ______________________________________________

PUBLIC UTILITIES

NAME ________________________________________________________________________________________________

ADDRESS _____________________________________________________________________________________________

CITY/ZIP ____________________________________________________________________________________________

SSN _________________________________________ PHONE # ______________________________________________

COMMENTS ____________________________________________________________________________________________

_____________________________________________________________________________________________________