Fill and Sign the Acknowledgement of Paternity 481377671 Form

Acknowledgment of Paternity with Declaration that Child Shall Share in Father’s EstateI, _______________________________________ (name of father), of ______________ ______________________________________________________________________________ (street address, city, county, state, zip code) , being of sound mind and memory, voluntarily, without coercion, and of my own free will, declare that I am the father of a _________________ (male or female) child born to _____________________________________ (name of mother) , of ___________________________________________________________________________ (street address, city, county, state, zip code) , at _______________________________________ (name of hospital) , _____________________________________________________________ ________________ (street address, city, county, state, zip code) , on ______________________ (date) , and given the name of _____________________________________ (name of child). I further declare that ______________________________________ (name of child) shall share in my estate in the same manner, and with the same rights, as if ____________________________ (name of child) were my legitimate child. Witness my signature on this the _____ day of ________________________, 20____. ____________________________________ ____________________________________ (Name and Signature of Father) STATE OF ______________________________ COUNTY OF ____________________________Personally appeared before me, the undersigned authority in and for said County and State, on this day of ______________________________, 20____, within my jurisdiction, the within-named _________________________________________ (Name of Father), who acknowledged that he executed the above and foregoing instrument. ____________________________________ NOTARY PUBLIC My Commission Expires: _________________________ Note: Acknowledgment may vary by state