Louisiana § RS 9:223 - Form
Full text of Louisiana Louisiana Civil Code § RS 9:223 — Form, with citation guidance and answers to common questions.
§ RS 9:223. Form
A. An application for a marriage license shall be made on a form provided by Subsection B of this Section.
B. The application form shall be as follows:
Application for Marriage
__________________(Parish), State of Louisiana
Date of Application:
Hour of Application:
GROOM
Last Name of Groom
First Name of Groom
Middle/Second Name of Groom
Address
Is residence inside city limits?
☐ Yes ☐ No
Parish/County
State
Race
Date of Birth (month-day-year)
State of Birth
Father's Name
State of Birth
Mother's Maiden Name
State of Birth
BRIDE
Last Name of Bride
First Name of Bride
Middle/Second Name of Bride
Maiden Name of Bride
Address
Is residence inside city limits?
☐ Yes ☐ No
Parish/County
State
Race
Date of Birth (month-day-year)
State of Birth
Father's Name
State of Birth
Mother's Maiden Name
State of Birth
Covenant Marriage
Covenant Marriage☐ Yes☐ NoIf yes, complete the following:
We, ___________________________ and _____________________________
do hereby declare our intent to contract a Covenant Marriage and, accordingly, have executed a declaration of intent attached hereto.
Groom
Has the groom been formerly married?_________
How many times?________
Are you divorced ________?
Bride
Has the bride been formerly married?_________
How many times?________
Are you divorced ________?
SSN
Grooms's Social Security Number
Bride's Social Security Number
I ___________________________ (print name of groom) do swear or affirm that the information contained in this application for marriage is true and correct. I further swear or affirm that this is my ______ (1st, 2nd, etc. number) marriage but that I am not currently married to anyone else, and that I am free to marry under the laws of the state of Louisiana. I further understand and acknowledge that giving any false information or false statement in this application of marriage shall constitute the crime of filing a false public record in violation of the Louisiana Criminal Code (R.S. 14:133).
____________________________
Signature of Groom
Sworn to and subscribed before me this ________ day of __________________, 20___.
___________________ Notary Public/Deputy Clerk/Deputy Registrar
I ___________________________ (print name of bride) do swear or affirm that the information contained in this application for marriage is true and correct. I further swear or affirm that this is my ______ (1st, 2nd, etc. number) marriage but that I am not currently married to anyone else, and that I am free to marry under the laws of the state of Louisiana. I further understand and acknowledge that giving any false information or false statement in this application of marriage shall constitute the crime of filing a false public record in violation of the Louisiana Criminal Code (R.S. 14:133).
____________________________
Signature of Bride
Sworn to and subscribed before me this ________ day of __________________, 20___.
___________________ Notary Public/Deputy Clerk/Deputy Registrar
Acts 1987, No. 886, §3, eff. Jan. 1, 1988; Acts 2015, No. 436, §1, eff. Jan. 1, 2016.
Frequently Asked Questions About Louisiana § RS 9:223
What does Louisiana Civil Code § RS 9:223 cover?
Section RS 9:223 ("Form") is part of the Louisiana Civil Code, the codified statutory law of Louisiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Louisiana § RS 9:223?
A common citation format is "Louisiana Civil Code § RS 9:223" (Louisiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Louisiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Louisiana official source linked on this page or consult a licensed Louisiana attorney.
How does Louisiana § RS 9:223 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Louisiana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Louisiana.