AL TRIBUNALE ORDINARIO DI ASTI
N.R.G. V.G. _________________

Il/la sottoscritto/a _________________________________________________________________
nato/a a _________________________________________________________________________ il ______________________________________________________________________________
codice fiscale_____________________________________________________________________
residente in ______________________________________________________________________
via (corso)_______________________________________________________________________
tel. ____________________________email____________________________________________
e il/la sottoscritto/a ________________________________________________________________
nato/a a _________________________________________________________________________ il ______________________________________________________________________________
codice fiscale_____________________________________________________________________
residente in ______________________________________________________________________
via (corso)_______________________________________________________________________
tel. ____________________________email____________________________________________
c h i e d e / c h i e d o n o

la formazione dell’atto di matrimonio in quanto__________________________________________
________________________________________________________________________________
Si precisa che i dati sono i seguenti: 
Sposo: Cognome:_________________________________________________________________
Nome:__________________________________________________________________________nato/a a ______________________________________________il_________________________
Sposa: Cognome:_______________________________________il_________________________
Nome:__________________________________________________________________________
nato/a a ________________________________________________________________________
Matrimonio celebrato in data:______________________________________________________
a ______________________________________________________________________________
come si deduce dai documenti allegati.
Asti, _________________                                               Firma

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