Nevada Revised Statutes Title 11. Domestic Relations § 122.050. Form of marriage license

The marriage license must contain the name of each applicant as shown in the documents presented pursuant to subsection 2 of NRS 122.040. The marriage license must be substantially in the following form:

MARRIAGE LICENSE

(EXPIRES 1 YEAR AFTER ISSUANCE)

These presents are to authorize any minister, other church or religious official authorized to solemnize a marriage, notary public or marriage officiant who has obtained a certificate of permission to perform marriages, any Supreme Court justice, judge of the Court of Appeals or district judge within this State, or justice of the peace within a township wherein the justice of the peace is permitted to solemnize marriages or if authorized pursuant to subsection 3 of NRS 122.080, or a municipal judge if authorized pursuant to subsection 4 of NRS 122.080, or any commissioner of civil marriages or his or her deputy within a commissioner township wherein they are permitted to solemnize marriages or any mayor if authorized pursuant to subsection 5 of NRS 122.080, to join in marriage __________ of (City, town or location)__________, State of __________ State of birth (If not in U.S.A., name of country)__________; Date of birth __________ Name of Parent No. 1 __________ State of birth of Parent No. 1 (If not in U.S.A., name of country) __________Name of Parent No. 2 __________ State of birth of Parent No. 2 (If not in U.S.A., name of country) __________Number of this marriage (1st, 2nd, etc.) __________Former Spouse: Deceased __________ Divorced __________ Annulled __________ When __________ Where __________ And __________ of (City, town or location)__________, State of __________ State of birth (If not in U.S.A., name of country)__________; Date of birth __________ Name of Parent No. 1 __________ State of birth of Parent No. 1 (If not in U.S.A., name of country) __________Name of Parent No. 2 __________ State of birth of Parent No. 2 (If not in U.S.A., name of country) __________Number of this marriage (1st, 2nd, etc.) __________Former Spouse: Deceased __________ Divorced __________ Annulled __________ When __________ Where__________; and to certify the marriage according to law.

Witness my hand and the seal of the county, this __________ day of the month of __________ of the year __________