CERTIFICATE OF CONSENT FOR MARRIAGE

STATE OF _______________________

COUNTY OF _______________________

BE IT KNOWN THAT WE (I) THE PARENT(S) OF__________________________________
WHO IS_________ YEARS OF AGE, DO HEREBY GIVE OUR (MY) CONSENT TO HIS/HER MARRIAGE TO__________________________________________.

BOTH PARENTS MUST SIGN CONSENT FORM, UNLESS THEY ARE DIVORCED AND ONLY PARENT WAS GIVEN CUSTODY OF THE MINOR BY A COURT ORDER (CUSTODY PAPERS MUST BE SHOWN TO NOTARY OR DEPUTY CLERK). IF ONE PARENT IS DECEASED THIS AFFIDAVIT MUST SO STATE. PLEASE INDICATE BELOW.

DIVORCED - GRANTED FULL CUSTODY _________ YES _________ NO

DECEASED _________ YES _________ NO

_______________________________________
Signature

_______________________________________
Signature

SWORN TO AND SUBSCRIBED BEFORE ME THIS ___ DAY OF_______________, 20___

________________________________________
NOTARY PUBLIC OR DEPUTY CLERK
(seal)

NOTARY PUBLIC - COMMISSION EXPIRATION DATE ________________