STATE OF NEVADA
MARRIAGE CERTIFICATE
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State of Nevada |
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County of……………………. |
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This is to certify that the undersigned, ………………………….. (a minister or other church or religious official authorized to solemnize a marriage, notary public, judge, justice of the peace of ………………………….. County, commissioner of civil marriages, deputy commissioner of civil marriages, marriage officiant or mayor, as the case may be), did on the ……………. day of the month of ……….. of the year ……………, at ……………. (address or church), ……………. (city), Nevada, join or rejoin, as the case may be, in lawful wedlock ……………. (name), of ……………. (city), State of ……………., date of birth ……………., and ……………. (name), of …………….(city), State of ……………., date of birth ……………., with their mutual consent, in the presence of ……………. and ……………. (witnesses). After ………… (name) and ………… (name) are joined or rejoined in marriage, as the case may be, ………… (name) wishes to use the name ………… (New name) and ………… (name) wishes to use the name ………… (New name) OR The parties have not designated any changes of name at the time of issuance of the marriage license. (If two persons, regardless of gender, who are the spouses of each other are being rejoined in marriage pursuant to subsection 2 of NRS 122.020, this certificate replaces the record of the marriage of the persons who are being rejoined in marriage.)
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Signature of person performing
(Seal of County Clerk) the marriage
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Name under signature typewritten
or printed in black ink
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County Clerk
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Official title of person performing
the marriage
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Couple’s mailing address
NRS 122.120