§ 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) ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ By ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․ Deputy Signature County Clerk 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) 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 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.