Fill and Sign the Acknowledgment United States of America Form

ACKNOWLEDGMENT UNITED STATES OF AMERICA BY [_FATHER_] STATE OF LOUISIANA OF [_CHILD_] PARISH OF [_PARISH_] BE IT KNOWN that on [_Date_], before me, [_NOTARY_], a Notary Public duly commissioned and qualified in an d for the Parish and State aforesaid, and in the presence of the undersigned witnesses, personally came and appeared: [_FATHER_] , a single man of full age of majority, domiciled in [_Father_Parish_] , Louisiana and having as his present mailing address [_Address_] ; who declared under oath that he is the father of th e child born [_Birthdate_] , whose mother is [_Mother_], and whose birth is registered in the Parish of [_Birth_Parish_] under the name of [_Birth_Name_], and that [_FATHER_] by this instrument acknowledges the said [_CHILD_] as his child in accordance with Louisiana Revised Civil Code Article 203. THUS SIGNED ON the date indicated above at [_City_Parish_] , Louisiana, in the presence of the undersigned Notary Public, qualified in sai d State and Parish, and the undersigned competent witnesses, who have signed with the appearer after due reading of the whole. WITNESSES: _______________________ _________________________ [_FATHER_] _______________________ _________________________ [_NOTARY_], NOTARY PUBLIC * * * * * * * * * * ACKNOWLEDGMENT OF CHILD - F1DFAM1: This document may be executed by either or both parents (but usually only the father) to establish filiation (parenthood) of a child, in accordance with R.C.C. 203. It must be executed before a notary in the presence of two witnesses. If signed by one parent, it is effective only with respect to that parent. WORD KEY EXPLANATION [_FATHER_] Full name of father. [_CHILD_] Full name of child. [_PARISH_] Parish in which act is executed. [_Date_] Date act is executed. [_NOTARY_] Notary public before whom act is executed. [_Father_Parish_] Parish of father's domicile. [_Address_] Mailing address of father. [_Birthdate_] Birthdate of child. [_Mother_] Name of child's mother. [_Birth_Parish_] Parish in which child's birth is registered. [_Birth_Name_] Name of child appearing on certificate of birth . [_City_Parish_] City and parish of execution.