New Mexico Statutes Annotated 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 Date of Birth ________________________________ Birth ________________________________ Place of Place of Birth ________________________________ Birth ________________________________ Present Present Address _____________________________ Address _____________________________ _____________________________________ _____________________________________ Signature Signature Subscribed and sworn to before me this ______________ day of ___________ A.D. 19 ___ (seal) _____________________________________ By _____________________________ Deputy Signature County Clerk 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, ss. County of _____________. 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, ss. County of _____________. 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

1953 Comp., § 57-1-16, enacted by Laws 1961, ch. 99, § 1.

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