40-1-18: Form of application, license and certificate.

APPLICATION FOR MARRIAGE LICENSE

No. _________ STATEMENTS

RECEIVED AND FILED

IN COUNTY CLERK'S OFFICE

at ______ o'clock ______ m.

_____________________________________ 19 _______

DATE OF PREMARITAL PHYSICAL EXAMINATION

Bride _______________________________________

Groom ______________________________________

COUNTY CLERK ______________________ COUNTY

By ___________________________________ Deputy

To the County Clerk: We the undersigned hereby make application to be united in marriage and certify that we are not related within the degree prohibited by the laws of this state; that neither is bound by marriage to another; that there exists no legal impediment to this marriage; and that the information contained herein is correct.

Male Applicant Female Applicant

Date of Birth ____________________________ Date of Birth _____________________________

Place of Birth _____________________________ Place of Birth _____________________________

Present Address __________________________ Present Address __________________________

________________________________ Signature ________________________________ Signature

Subscribed and sworn to before me this ______________ day of ________________ A.D. 19 ___ (seal)

_____________________________________ Signature County Clerk by _______________________ Deputy

CONSENT OF PARENT OR GUARDIAN

(Where either party is under age)

I, the parent (guardian) of _______________________, hereby consent to the granting of a license to marry, waiving the question of minority.

______________________________________ Signature Parent (Guardian)

I, the parent (guardian) of _______________________, hereby consent to the granting of a license to marry, waiving the question of minority.

______________________________________ Signature Parent (Guardian)

MARRIAGE LICENSE

State of New Mexico )

County of _________________ ) ss.

To any Person Authorized by Law to Perform the Marriage Ceremony:

Greeting:

You are hereby authorized to join in marriage _________________ of _________________ and _________________ of _________________ and of this license you will make due return to my office within the time prescribed by law.

Witness my hand and the seal of said court at ________________ this _______________ day of ____________, 19 ____.

______________________________________ County Clerk

Recorded _____________, 19 ____, at ____ .m. In marriage record book no. ____, page ____.

______________________________________ County Clerk

MARRIAGE CERTIFICATE

State of New Mexico )

County of _________________ ) ss.

I hereby certify that on the _______________ day of ____________, A.D., 19 ____, at _____________ in said county and state, I, the undersigned, a _________________, did join in the Holy Bonds of Matrimony in accordance with the laws of the state of New Mexico and the authorization of the foregoing license _________________ of _________________ and _________________ of _________________.

Witness my hand and seal the day and year last above written.

______________________________________ (Official Title)

WITNESSES:

______________________________________ ______________________________________

Signed ___________________________ Groom.

Signed ___________________________ Bride.

Recorded this ____________ day of ____________, A.D., 19 ____, at ____M.

Marriage Record Book No. ______, Page No. ______.

______________________________________ County Clerk