Fill and Sign the Mother of the Children is Form

JDF 1504 R3/04 ADMISSION OF PATERNITY Page 1 of 2 District Court  Denver Juvenile Court _________________________________________ County, ColoradoCourt Address:In the Interest of:Petitioner:v.Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom ADMISSION OF PATERNITY I, _____________________________________, the  Petitioner  Respondent declare under oath as follows:The mother of the child(ren) is: ________________________________. I freely admit that I am the father of the following child(ren): NameSexDate of Birth ADVISEMENT 1. This admission has been given of my own free will. No one has forced me to sign this admission.2. By signing this Admission of Paternity, I am giving up the right to have genetic tests taken which might be used in my defense.3. By signing this Admission of Paternity, I understand that I am giving up my right to a hearing on the issue of paternity, my right to cross-examine witnesses, to call witnesses on my behalf, to have an attorney represent me, to present evidence in my behalf, and my right to require the other party to prove that it is more likely than not that I am the father to the child(ren) named above.4. I understand that under the laws of the State of Colorado, I may be responsible for child support and medical insurance for the child(ren).5. I have read this Admission of Paternity and Advisement, and understand my rights. **If you have any doubts as to whether you are the father of the child(ren) named in this action, do not sign this form. JDF 1504 R3/04 ADMISSION OF PATERNITY Page 2 of 2 VERIFICATION AND ACKNOWLEDGEMENT I swear/affirm under oath that I have read the foregoing Admission of Paternity and that the statements set forth therein are true and correct to the best of my knowledge.Date: ______________________________ ____________________________________________  Petitioner OR  Respondent Age____________________________________________Address____________________________________________City, State, Zip Code____________________________________________(Area Code) Telephone Number (home and work) Subscribed and affirmed, or sworn to before me in the County of ______________________, State of ________________, this ___________ day of _______________, 20 ______.My commission expires: ____________________ ___________________________________ Notary Public/Deputy Clerk