Fill and Sign the Montana Notice Intent Form

NOTICE OF INTENT TO CLAIM PATERNITY (40-6-126, MCA) STATE OF MONTANA COUNTY OF _________________________ I, _______________________________, born on ___________________________, hereby serve Father’s Name Date notice that I intend to claim paternity of the child or children currently expected to be born to ______________________________________, who resides at __________________________, Mother’s Maiden Name Street address ________________________, Montana. Expected date of delivery:_______________________. City Signature:_________________________________ ___ Address:__________________________________ _ Street __________________________________________________ _ City State Zip Subscribed and sworn to before me this _____ day of ______________________, 20______. __________________________________________________ __ (NOTARY SEAL) Notary Public for the State of Montana __________________________________________ ___ Printed Signature Residing at: ________________________________ My Commission expires: _______________________ If this is being filed in response to Notice Of Intent To Release by the mother, please state: Name of Court:________________________________ Court File Number:_____________________________