(a) The license may be in the following form: “State of Arkansas, County of . . . . . . . . . . . . . . To any person authorized by law to solemnize marriage: You are hereby commanded to solemnize the rites and publish the banns of matrimony between A. B., age . . . . . . . . . . . . . . years, and D. C., age . . . . . . . . . . . . . . years, according to law, and officially sign and return this license to the parties herein named. Issued with official seal, this . . . . . . . . . . . . . . day of . . . . . . . . . ., 20. . . . . . . . . .. [L. S.]”
(b) The party solemnizing the rites of matrimony shall endorse on the license his or her certificate of that fact in the following form: “State of Arkansas, County of . . . . . . . . . . . . . . | ss I, A. B., do hereby certify that on the . . . . . . . . . . . . . . day of . . . . . . . . . ., 20. . . . . . . . . ., I did duly, and according to law as commanded in the foregoing license, solemnize the rites and publish the banns of matrimony between the parties herein named. Witness my hand this . . . . . . . . . . day of . . . . . . . . . ., 20 . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . A. B., Justice of the Peace” (Or insert whatever title the party has, as minister, etc.)
(c) If the parties intend to contract a covenant marriage, the application for a marriage license must also include the following statement completed by at least one (1) of the two (2) parties:“We, [insert name of spouse] and [insert name of spouse], declare our intent to contract a covenant marriage and accordingly have executed the attached declaration of intent.”
“We, [insert name of spouse] and [insert name of spouse], declare our intent to contract a covenant marriage and accordingly have executed the attached declaration of intent.”