Form 116-M
Page 1 of 1
Revised 3/14/2003
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
PROBATE DIVISION
No.
Matter of
, minor.
PETITION TO ORDER ISSUANCE OF MARRIAGE LICENSE
(Section 451.090)
Comes now
and
, natural mother and
father of
, minor, and petition the
Court to order the Recorder of Deeds of Clay County, Missouri, to issue a marriage license to
the said minor who is ______years of age and whose birth date is
. It is
further stated that said minor is pregnant and that the father of the unborn child is
, who is _______ years of age.
Wherefore, good cause having been shown, the petitioners herein request the Court to
order the Recorder of Deeds of Clay County, Missouri, to issue a marriage license to the said
minor,
.
Petitioner
Address
Phone:
Petitioner
Address
Phone:
Approved by minor
Signed and sworn to before me by
and
this day __________
of __________________________, 20______.
Probate Division Clerk