2017 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 End Form
History: 1953 Comp., 57-1-16, enacted by Laws 1961, ch. 99, 1.
