Grand County Clerk
             

Grand County Clerk

Marriage License:   $30.00   Select:   Item Subtotal:  
$0.00
Name on Marriage License
 
Clerk Fees
Certified Copy:   $6.00   Quantity:   Item Subtotal:  
$0.00
Copy Certification:   $2.00   Quantity:   Item Subtotal:  
$0.00
Copies:   $0.10   Quantity:   Item Subtotal:  
$0.00
Building Permit:   $   Item Subtotal:  
$0.00
Name [1]
Permit Number [1]

Name

[2]
Permit Number [2]

Name

[3]
Permit Number [3]

Name

[4]
Permit Number [4]

Name

[5]
Permit Number [5]

Name

[6]
Permit Number [6]

Name

[7]
Permit Number [7]

Name

[8]
Permit Number [8]

Name

[9]
Permit Number [9]

Name

[10]
Permit Number [10]
Business License:   $   Item Subtotal:  
$0.00
Business Name [1]
Owners Name [1]

Business Name

[2]
Owners Name [2]

Business Name

[3]
Owners Name [3]

Business Name

[4]
Owners Name [4]

Business Name

[5]
Owners Name [5]

Business Name

[6]
Owners Name [6]

Business Name

[7]
Owners Name [7]

Business Name

[8]
Owners Name [8]

Business Name

[9]
Owners Name [9]

Business Name

[10]
Owners Name [10]
Misc:   $   Item Subtotal:  
$0.00
Description [1]

Description

[2]

Description

[3]

Description

[4]

Description

[5]

Description

[6]

Description

[7]

Description

[8]

Description

[9]

Description

[10]
 
Total:
$0.00

Payer's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: 2.5% ($1.50 min)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.75
Update name from Payer's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number:
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Payer's Information
Cardholder's Name:
Billing ZIP/Postal Code:
Please be aware that card payments will be described as
CountyUT 800-764-0844 Clinton UT
 
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