2006 New York Code - Town And City Clerks To Issue Marriage Licenses; Form.

 
    §  14. Town and city clerks to issue marriage licenses; form. The town
  or city clerk of each and every town or city in  this  state  is  hereby
  empowered  to  issue  marriage  licenses to any parties applying for the
  same who may be entitled under the laws of this state to apply  therefor
  and  to  contract  matrimony,  authorizing the marriage of such parties,
  which license shall be substantially in the following form:
 
  State of New York
  County of ................
  City or town of ..........
 
    Know all men by this certificate that any person authorized by law  to
  perform  marriage  ceremonies  within the state of New York to whom this
  may come, he not  knowing  any  lawful  impediment  thereto,  is  hereby
  authorized  and  empowered  to  solemnize the rites of matrimony between
  ............. of ........... in the county of ............. and state of
  New York and ..................  of ................... in the county of
  ............. and state of New York and to certify the same to the  said
  parties  or either of them under his hand and seal in his ministerial or
  official capacity and thereupon he is required to return his certificate
  in the form hereto annexed.  The statements endorsed hereon  or  annexed
  hereto, by me subscribed, contain a full and true abstract of all of the
  facts    concerning    such  parties  disclosed  by  their affidavits or
  verified statements presented  to  me  upon  the  application  for  this
  license.   This   certificate   is   to   be  returned  addressed to the
  undersigned at
  ........................................................................
     (Street)               (City, Town, Village)                 (State)
 
    In testimony whereof, I have hereunto set my hand and affixed the seal
  of said town  or  city  at  ..........  this  .......  day  of  ........
  nineteen ........, at........m. Seal.
 
    The  form  of  the  certificate  annexed  to  said license and therein
  referred to shall be as follows:
 
    I, ....a....., residing at ......... in the  county  of  ........  and
  state  of New York do hereby certify that I did on this ......... day of
  .... in the year, nineteen ......... at ......  m,  at  .......  in  the
  county  of  .......... and the state of New York, solemnize the rites of
  matrimony between .... of ..... in the county of ...........  and  state
  of  New York, and .... of ..... in the county of ............. and state
  of New York in the presence of .....  and  .....  as  witness,  and  the
  license therefor is hereto annexed.
    Witness  my  hand  ...... in the county of ....... this ....... day of
  ....., nineteen .....
    In the presence of
 
    ..............
 
    ..............
 
    ..............
 
    There shall be endorsed upon the license or annexed thereto at the end
  thereof, subscribed by the clerk, an abstract of  the  facts  concerning
  the  parties  as disclosed in their affidavits or verified statements at
  the time of the application for the license made in  conformity  to  the
  provisions of section fifteen of this chapter.
    There  shall  also  be stated upon the license the exact period during
  which the marriage may be solemnized.
    The  license  issued,  including  the  abstract  of  facts,  and   the
  certificate  duly  signed  by  the  person who shall have solemnized the
  marriage therein authorized, shall be returned by  him,  and  where  the
  marriage  is  solemnized  by  a  written contract, the judge before whom
  acknowledgment is made shall forward such contract and marriage  license
  to  the  office  of the town or city clerk who issued the license within
  five days succeeding the date of the solemnizing of the marriage therein
  authorized and any person or persons who shall wilfully neglect to  make
  such  return  within the time above required shall be deemed guilty of a
  misdemeanor and upon conviction thereof shall be punished by a  fine  of
  not  less  than  twenty-five dollars or more than fifty dollars for each
  and every offense.  When a marriage is solemnized by  a  city,  town  or
  village  justice  outside  of the territorial jurisdiction in which such
  justice was elected or appointed, as  provided  in  subdivision  six  of
  section  eleven  of this chapter, there shall be affixed to such license
  prior to filing, the official or common seal of  the  court  or  of  the
  municipality in which such justice was elected or appointed.