Marriage License Application Form

2. Important Information
   **Form must be complete **We will call you to set up an appointment **Both parties must be present with ID **Cost is $25 cash only **No same day appointments**

   **Form must be complete **We will call you to set up an appointment **Both parties must be present with ID **Cost is $25 cash only **No same day appointments**

3. **Proof of residency in Otero County required**
   **Please do not submit application if marriage date is further than a month**

   **Please do not submit application if marriage date is further than a month**

6. If you are going to change your last name
   insert information on applicant #2

   insert information on applicant #2

8. Applicant #1*

   Name (First, Middle, Last)

9. Applicant #2*

   Name (First, Middle, Last)

11. Date of Birth #1*

    Month/Day/Year

12. Date of Birth #2*

    Month/Day/Year

14. Phone Number #1*

    (xxx-xxx-xxxx)

15. Phone Number #2*

    (xxx-xxx-xxxx)

17. Current Physical Address #1*

    Street Address, City, State, Zip Code

18. Current Physical Address #2*

    Street Address, City, State, Zip Code

20. Mailing Address (if different) #1

21. Mailing Address (if different) #2

23. Place of Birth #1*

    City and State or City and Country

24. Place of Birth #2*

    City and State or City and Country

28. ***For Internal Use Only***

30. SSN #1

31. SSN #2

33. Book

34. Page

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field