REQUEST FOR "AFFIDAVIT CERTIFYING LEGAL AGE" DOCUMENT

Important Note: This marriage file contains only the "Affidavit Certifying Legal Age"

If you want a copy of the "Affidavit Certifying Legal Age Document", print out this form, fill it in and mail it, along with a check for $15 to:

     

        Madison County Genealogical Society, P. O. Box 26, Winterset, Iowa 50273-0026

Name of Groom: _________________________________

Name of Bride:___________________________________

Date of Marriage: _________________________

Marriage File #: ____________

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Your Name: _____________________________________________

Your Street Address: _______________________________________

Your City: ___________________________________________ 

State:________________  Zip: _____________

Email Address (In case we need to contact you regarding this request):

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