Fill and Sign the Fathers Affidavit of Parentage Vermont Judiciary Form

FORM: 818F S TATE OF VERMONT SUPERIOR COURT FAMILY DIVISION ______________ Unit Docket No.______________ Plaintiff Defendant Name D OB v . Name D OB FATHER’S AFFIDAVIT OF PARENTAGE U nder oath, I, _______________________________, state that these facts are true Print Name based on my information and/or my belief: 1 . I am the Plaintiff in this case. 2. The Defendant is the natural mother and I am the natural father of: Name of Child Date of Birth / / 3. Defendant resides in ________________, in the State of _______________. 4. On or about _________________, I caused the defendant to become pregnant with Date the child named above. 5 . The following facts support my claim that I am the father of this child: a. We lived together in _____________________ from ______ until _______ Town/City and State b . Check the appropriate answer to each statement below. Yes No Don’t Know 1. I have always asserted that I am the father: 2. I have admitted that I am the father 3. I was present at the birth of the child 4. I visited the mother and child in the hospital following the birth 5. The mother told me that I was the father of the child 6. I offered to pay medical expenses Yes No Don’t Know 7. The child resembles me as follows: 8. I am named on the birth certificate
C opy of birth certificate attached 9. I have never denied I am the father 10. I signed a voluntary acknowledgment of parentage.
C opy of Acknowledgment attached 11. I have provided food, clothing or other financial support for the child 12. I have lived with the child From _________ until ___________ 13. I have visited with the child as follows: 14. I have sent cards/letters to the mother about the pregnancy and birth of the child
C opies attached 15. I have claimed the child on my tax returns 16. I have given the child gifts as follows: 17. The results of genetic testing prove I am the father 6. Please describe any other evidence that would support your claim that you are the father of the child: (use additional pages if necessary) I hereby swear or affirm that the information above is true to the best of my knowledge and belief. Signed and sworn to before me: Signature of Plaintiff Date Date Signature of Notary Public Expiration Date