2009 New Mexico Statutes
Chapter 40 - Domestic Affairs.
Article 1 - Marriage in General
Section 40-1-18 - Form of application, license and certificate.

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