Telefax
A Servizio Demografico Ufficio di Stato Civile
Fax :                                    0039 075 8943449
Al Sindaco 
Della città di Todi
Concerne : Richiesta di matrimonio civile
                    For civil wedding celebration
Datum                                                                        Uhrzeit
Data _________________________________ora_______________________________________________
Bräutigam Nachname
Sposo nome _____________________________________________________________________________
Wohnsitz 
Residente a _____________________________________________________________________________
Passport
Passaporto n° ____________________________________________________________________________
Braut Nachname
Sposa nome_____________________________________________________________________________
Wohnsitz 
Residente a _____________________________________________________________________________
Passport
Passaporto n° ____________________________________________________________________________
1. Trauzeuge Nachname
Primo testimone__________________________________________________________________________
Geboren in                                                                   Tag
Nato a _________________________________ il _______________________________________________
Wohnsitz 
Residente a _____________________________________________________________________________
Passport
Passaporto n° ____________________________________________________________________________
2. Trauzeuge Nachname
Secondo testimone________________________________________________________________________
Geboren in                                                                   Tag
Nato a _________________________________ il _______________________________________________
Wohnsitz 
Residente a _____________________________________________________________________________
Passport
Passaporto n° ____________________________________________________________________________
Interpret Nachname
Interprete _______________________________________________________________________________
Geboren in                                                                   Tag
Nato a _________________________________ il _______________________________________________
Wohnsitz 
Residente a _____________________________________________________________________________
Passport
Passaporto n° ____________________________________________________________________________
Unterschrift Braut 
Firma sposa                                  ______________________________________________________________
Unterschrift Bräutigam 
Firma sposo                                   ______________________________________________________________
Anfrage für
Chiedono
eine standesamtliche Hochzeit
Di celebrare il proprio matrimonio civile

In
Sala del Ridotto del Teatro
Sala Giunta
Sala delle Pietre
Sala del Consiglio
Monastero delle Lucrezie
Ort                                                           ,  den
Luogo_______________________ ,  data _____________________________________________________
Unterschrift Braut 
Firma sposa  _____________________________________________________________________________
Unterschrift Bräutigam
Firma sposo _____________________________________________________________________________