\nIf an applicant for a marriage license is over 18 years of age and is unable to appear in person at the register of deeds' office, the other party to the planned marriage must appear in person on behalf of the applicant and submit a sworn and notarized affidavit in lieu of the absent applicant's personal appearance.\nThe affidavit shall be in the following or some equivalent form:\n__________, [applicant] appearing before the undersigned notary and being duly sworn, says that:\n1. I, __________, [applicant's name] am applying for a license in _______ County, North Carolina, to marry _______ [name of other applicant] in North Carolina within the next 60 days and I am authorized under G.S. 51-8.2 to complete this Affidavit in Lieu of Personal Appearance for Marriage License Application.\nI attach: (1) documentation that I am over 18 years of age as required in county of issuance; and (2) documentation of divorce as required by county of issuance.\n2. I submit the following information in applying for a marriage license:\nName: ____________________________________________________________\nFirst Middle divorce as required by county of issuance.\n2. I submit the following information in applying for a marriage license:\nName: ____________________________________________________________\nFirst Middle Last\nResidence: _________________________________________________________\nState County City or Town\n__________________________________________________________________\nStreet and Number\nInside City Limits (Yes or No): ________________________________________\nBirthplace: _________________________________________________________\nCounty & State or Country\nBirth Date: ______________ Age: ____\nFather: ____________________________________________________________\nName State of Birth\n__________________________________________________________________\nAddress (if living) or Deceased\nMother: ___________________________________________________________\nName State of Birth\n__________________________________________________________________\nAddress (if living) or Deceased\nRace (Optional): ____________________________________________________\nNumber of this marriage: 1st, 2nd, etc. ___________________________________\nLast Marriage Ended by: ss (if living) or Deceased\nRace (Optional): ____________________________________________________\nNumber of this marriage: 1st, 2nd, etc. ___________________________________\nLast Marriage Ended by: ______________________________________________\nDeath, Divorce, Annulment\nDate Marriage Ended: ________________________________________________\nSpecify Highest Grade Completed in School (Optional): ____________________\nSocial Security # ______________ (If applicant does not have Social Security number, attach affidavit of ineligibility)\nI hereby make application to the Register of Deeds for a Marriage License and solemnly swear that all of the statements contained in the above application are true and I further make oath that there is no legal impediment to such marriage.\n_______________________\nSignature of Applicant\nSworn to (or affirmed) and subscribed before me this _____ day of __________, ______.\n__________________________\n[Seal] Notary Public\nMy commission expires: ______\n__________________________\n[Notary's typed or printed name].\n(2001-62, s. 9.)
North Carolina Legal Code