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

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

Gender-neutral forms. — To comply with the New Mexico constitution, gender-neutral language must be utilized in identifying the applicants and spouses in the forms required by 40-1-18 NMSA 1978. Griego v. Oliver, 2014-NMSC-003.

Form indicates that only one parent need consent to marriage of underage child. 1964 Op. Att'y Gen. No. 64-135.