Fill and Sign the Affidavit of Paternity by Father of Child Form

Affidavit of Paternity by Father of Child State of __________________________County of ___________________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, _______________________________________ (Name of Father) who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. I do hereby declare that I am the father of a ___________________ (male or female) child, since named _____________________________________ (Name of Child), an infant born to _____________________________________ (Name of Mother), on ___________________________________ (date), at __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ (e.g., name and address of hospital). 2. At the time of the birth of ______________________________________ (Name of Child), _________________________________________ (Name of Mother) and I were not married to one another. ____________________________________ (Signature of Father) ____________________________________(Print or Type Name) SWORN to and subscribed before me, this the ______ day of ____________________________, 20_____.
(date of birth), at (address of parent and child or other child of parents). 3. On (date), i gave birth to (name of child) at the hospital, in accordance with the instructions the physician had given me. (signature of mother) (print or type name) sworn to and subscribed before me, this is the day of . 20. (date) . (print or type name) affidavit of paternity by parent of child state of county of personally appeared before me, the undersigned authority in and for said county and state, (name of parent) who, having been being first duty sworn by the undersigned notary public, deposes and says : (signature of parent) i do hereby declare that I am the parent of (male or female) child since named (name of child), an infant born to i (name of mother), on (date) at the hospital, in accordance with the instructions the physician has prescribed for his treatment under section of the probate law of this state, (signature of parent) I have not concealed my relation to (name of child) since the birth of said child. (signature of parent) (print or type name) sworn to and subscribed before me, this is the day of . 20. , at (address of parent and child or other child of parents). 4. On (date), I gave birth to (name of child) at the hospital. I am the (father) and [name of mother's maiden name] (or mother's maiden name to whom this affidavit is made if less than maiden name) the mother of (name of child) i declare that [name of parent] and I have not the right to dispose of my interest in or to this child of [name of child] after the [date]. (signature of parent) (print or type name) sworn to and subscribed before me, this is the (day). 20. (date). (print or type name) affidavit of paternity by parent of child state of county of personally appeared before me, the undersigned authority in and for said county and state, (name of parent) who, having been being first duty sworn by the undersigned notary public, deposes and says: [name of parent] do hereby declare that I am the mother of (male or