Affidavit of Birth Template
This Affidavit of Birth is made in accordance with the laws of [State Name], specifically referencing [Relevant State Code or Statute].
By completing this document, I hereby declare the following:
- Affiant's Information:
- Full Name: _____________________________________
- Address: ______________________________________
- City, State, Zip Code: ________________________
- Date of Birth: _______________________________
- Child's Information:
- Full Name of Child: __________________________
- Date of Birth: _______________________________
- Place of Birth: ______________________________
- Relationship to Child: ________________________
- Notary Statement:
- This affidavit must be signed in the presence of a notary public.
By signing below, I attest that the information provided above is truthful and accurate to the best of my knowledge. I understand that providing false information may have legal consequences.
Affiant's Signature: ________________________________________
Date: ________________________________________
Sworn to and subscribed before me this _____ day of ____________, 20__.
Notary Public: ________________________________________
My Commission Expires: __________________________________