§ 51-16. Form of license. - North Carolina Statutes

§ 51‑16.  Form oflicense.

License shall be in thefollowing or some equivalent form:

To any ordained minister ofany religious denomination, minister authorized by a church, any magistrate, orany other person authorized to solemnize a marriage under the laws of thisState: A.B. having applied to me for a license for the marriage of C.D. (thename of the man to be written in full) of (here state his residence), aged ____years (race, as the case may be), the son of (here state the father and mother,if known; state whether they are living or dead, and their residence, if known;if any of these facts are not known, so state), and E.F. (write the name of thewoman in full) of (here state her residence), aged ____ years (race, as thecase may be), the daughter of (here state names and residences of the parents,if known, as is required above with respect to the man). (If either of theparties is under 18 years of age, the license shall here contain thefollowing:) And the written consent of G.H., father (or mother, etc., as thecase may be) to the proposed marriage having been filed with me, and therebeing no legal impediment to such marriage known to me, you are herebyauthorized, at any time within 60 days from the date hereof, to celebrate theproposed marriage at any place within the State. You are required within 10days after you shall have celebrated such marriage, to return this license tome at my office with your signature subscribed to the certificate under thislicense, and with the blanks therein filled according to the facts, underpenalty of forfeiting two hundred dollars ($200.00) to the use of any personwho shall sue for the same.

Issued this ____ day of ____,____

____________________ L.M.

Register of Deeds of ____County

Every register of deeds shall,at the request of an applicant, designate in a marriage license issued the raceof the persons proposing to marry by inserting in the blank after the word"race" the words "white," "black," "African‑American,""American Indian," "Alaska Native," "AsianIndian," "Chinese," "Filipino," "Japanese,""Korean," "Vietnamese," "Other Asian,""Native Hawaiian," "Guamarian," "Chamorro,""Samoan," "Other Pacific Islander," "Mexican,""Mexican‑American," "Chicano," "PuertoRican," "Cuban," "Other Spanish/Hispanic/Latino," or"other," as the case may be. The certificate shall be filled out andsigned by the minister, officer, or other authorized individual celebrating themarriage, and also be signed by two witnesses present at the marriage, whoshall add to their names their place of residence, as follows:

I, N.O., an ordained orauthorized minister or other authorized individual of (here state to whatreligious denomination, or magistrate, as the case may be), united in matrimony(here name the parties), the parties licensed above, on the ___ day of ______,___, at the house of P.R., in (here name the town, if any, the township andcounty), according to law.

________________ N.O.

Witness present at themarriage:

S.T., of (here give residence).

 (1871‑2,c. 193, s. 6; Code, s. 1815; 1899, c. 541, ss. 1, 2; Rev., s. 2089; 1909, c.704, s. 3; 1917, c. 38; C.S., s. 2502; 1953, c. 638, s. 2; 1967, c. 957, s. 7;1971, c. 1072; c. 1185, s. 27; 1999‑456, s. 59; 2001‑62, s. 11.)