Fill and Sign the Full Text of Ampquoteric Ed284135 Essentials for Attorneys in Form

_____________________________________________________________________________________ Mother’s Consent to Legitimation — Rev. June 2007 Page 1 of 3 Provided by the Atlanta Legal Aid Society IN THE SUPERIOR COURT OF CLAYTON COUNTY STATE OF GEORGIA , Petitioner, vs. , Respondent(s). Civil Action Case Number ________________________ MOTHER’S CONSENT TO LEGITIMATION 1. I am the mother of following minor child(ren) , who are the subject of this legitimation action filed by the Petitioner: Current Name of Child Male / Female Date of Birth 2. I hereby give my consent to the following provisions, by writing my initials next to them. I do not agree to any of the provisions unless I have written my initials next to them. [Write your initials next to only the ones to which you agree . Draw a line through the ones to which you do not agree] _____ (a) The Petitioner legitimating our childr en, whose names are listed in Paragraph 1 above. [Write your initials next to only the ones to which you agree . Draw a line through the ones to which you do not agree] _____ (b) Changing the children’s last name to . _____________________________________________________________________________________ Mother’s Consent to Legitimation — Rev. June 2007 Page 2 of 3 Provided by the Atlanta Legal Aid Society _____ (c) I agree to the following arrangemen t concerning custody and visitation: _______ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _____ (d) On the issue of child support: [Write your initials next to only one of the following, (1) to (4).] _____ (1) Child support has already been d ecided for these children by a court or agency in another case. _____ (2) I want the Court to decide child s upport and enter an child support order as part of this legitimation case. _____ (3) The Petitioner and I have reached an agreement on child support for these children, and it is consiste nt with the Georgia child support guidelines. The Petitioner’s gross income is $ per month, and my gross income is $ per month. We have agreed that ______________ will pay child support in the amount of $ per month to . _____ (4) The parties live together with th e children, so no child support order is necessary. 3. I have read this consent document, and I understand it. I am giving my consent freely. I have written my initials next to al l of the provisions in Paragraph 2 to which I am agreeing. I am not being forced to sign this cons ent, and I believe this legitimation is in the best interest of my child(ren). Subscribed & sworn to before me on , 200 . ______________________________ ________________________________________ Mother / Respondent (Signature) Mother’s Name: __________________________ Her Address: _____________________________ _____________________________ Her Phone (day): ( ) _________________ Mother’s Consent to Legitimation — Rev. June 2007 Page 3 of 3 Provided by the Atlanta Legal Aid Society Notary Public Commission Expires: ____________