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Get and Sign Acknowledgement of Paternity Massachusetts Form
Within 300 days of the birth):
-
MOTHER
First Name
Middle Name
Last Name
-
Social Security #
PRESUMED
FATHER
First Name
Middle Name
Born in
Last Name
-
Social Security #
on
City/State/Country
(Date of Birth) Month-spelled out
Day
Year
CHECK ONE
We,
and
(name of mother)
and were married at the time of this child's birth.
We,
are married
(name of presumed father)
and
(name of mother)
from each other on
were divorced
(name of presumed father)
but were legally married when...
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