Fill and Sign the Ms Paternity 497314644 Form

IN THE CHANCERY COURT OF       COUNTY, MISSISSIPPI       JUDICIAL DISTRICT DEPARTMENT OF       STATE OF MISSISSIPPI VS. NO.             SSN:       STATE OF MISSISSIPPI COUNTY OF       AFFIDAVIT AND AFFIRMATION OF PATERNITY THIS DAY PERSONALLY CAME AND APPEARED BEFORE ME, the undersigned authority in and for the aforesaid jurisdiction, the within named       , who first having been by me duly sworn, states on oath the following: 1. That this Affidavit is made upon information that is within my personal knowledge and my belief thereof; 2. That I am competent to swear to the matters stated herein; 3. That I do execute this Affidavit and Affirmation of Paternity for the specific purpose of complying with Section 43 - 19 - 33 et. seq. of the Mississippi Code (1972), as amended; and other applicable Statutes and Regulations; 4. That I have read and do understand the statements made herein and further state that I do freely and voluntarily make and execute this Affidavit under penalty of perjury; 5. That       is the natural father of my child, whose full name and date of birth are listed below, and that as a result of our relationship they were born out of wedlock: NAME BIRTHDATE             6. That I am not aware of any previous paternity action in which was rendered a judgment of paternity involving myself and child listed above. ________________________________________ Affiant SWORN T0 AND SUBSCRIBED be for me on this the       day of       AD.,       . __________________________________________ Notary Public MY COMMISSION EXPIRES: