CONSENT TO MINOR’S 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 ______________________, 2000.

 

 

                                                    ______________________________________________

                                                                                    (Notary Public)

 

 

                        (SEAL)