1. The county clerk may place the affidavit of application for a marriage license, the certificate of marriage and the marriage license on a single form.
2. The county clerk shall have printed or stamped on the reverse of the form:
(a) Instructions for obtaining a certified copy or certified abstract of the certificate of marriage.
(b) Language in black ink and at least 16-point bold type in a font that is easy to read and that is in substantially the following form:
3. Nothing may be printed, stamped or written on the reverse of the form other than the instructions and language described in subsection 2 and a time stamp used by the county clerk to signify that the form has been filed.