Your First name/Last name

Address

Postal code/ CITY

Town Hall

Address

Postal code/City

Done in [your city], on [specify the date].

Subject: Request for a marriage certificate extract without parentage

Madam, Sir,

I kindly request that you send me an extract of the marriage certificate of [indicate the first and last names of the persons concerned], celebrated at your town hall on [indicate the date of the marriage].

Please send it to the address shown in the letterhead.

While awaiting your reply, please accept, Madam, Sir, the expression of my best regards.

 [Your signature]