PLEASE NOTE: THIS LETTER MUST BE ON THE SAMPLE PURPOSES ONLY.

PLEASE NOTE: THIS LETTER MUST BE ON THE
EDUCATOR’S LETTERHEAD. THIS IS PROVIDED FOR
SAMPLE PURPOSES ONLY.
STATEMENT OF PREMARITAL EDUCATION
(Must be presented at time of application to receive discount)
“I, _________________________, confirm that
(Name of Educator)
___________________________________________________________and
(First Applicant’s FULL First, Middle, and Last legal name as it appears on application)
_____________________________________________________________
(Second Applicant’s FULL First, Middle, and Last legal name as it appears on application)
received at least 12 hours of premarital education that
included the use of a premarital inventory and the teaching of communication and conflict
management skills. I am a licensed or ordained minister, a person authorized to solemnize
marriages under Minnesota Statutes, Section 517.18, or a person licensed to practice
marriage and family therapy under Minnesota Statutes, Section 148B.33.”
Dated: ____________
________________________________
(Original signature of Educator)
________________________________
(Printed name of Educator)
Notary signature and stamp_______________________
NOTE:
*The names of the parties in the educator’s statement must be identical to the legal names of the parties as
they appear in the marriage license application.
**Original signature of educator must be notarized or appear with the church’s seal.