CONSENT TO MINORíS MARRIAGE

 

(TO BE COMPLETE BY HAND-DO NOT TYPE)

 

STATE OF NEBRASKA††††††††††††††††††† )

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† )†† ss.

COUNTY OF___________________)

 

 

††††††††††† I, _____________________________________________________being first

 

 

duly sworn, on oath, depose and say that I am the_______________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† (father, mother, guardian)

 

have legal and actual custody of _____________________________________________

 

 

and do give my consent to _____________ marriage to ___________________________

††††††††††††††††††††††††††††††††††††††††††††††† (his, her)

 

aged _______ years, and request the issuance of a marriage license to them.

 

 

 

††††††††††††††††††††††††††††††††††† ††††††††††† ________________________________________________

 

 

 

††††††††††††††††††††††† Subscribed in my presence and sworn to before me this

 

††††††††††††††††††††††† ________ day of ______________________, 2017.

 

 

††††††††††††††††††††††††††††††††††††††††††††††† ††† ______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† (Notary Public)

 

 

††††††††††††††††††††††† (SEAL)