Commonwealth of Pennsylvania | ||
ss: | No. .... | |
County of (name) |
To (name) and (name)
Legal evidence having been furnished to me, in accordance with law, this certifies that I am satisfied that there is no legal impediment to you joining yourselves together in marriage.
Signed | ......................................................................... |
(Official Title) |
We hereby certify that on (date), we united ourselves in marriage, at (city, borough or town), County of (name), Pennsylvania, having first obtained from the Court of Common Pleas of (name) a declaration numbered .... that the court was satisfied that there was no existing legal impediment to our so doing.
Signed......................................................................... |
Signed......................................................................... |
We, the undersigned, were present at the solemnization of the marriage of (name) and (name), as set forth in the foregoing certificate.
Signed......................................................................... |
Signed......................................................................... |
23 Pa.C.S. § 1502