Affidavit of Birth
State of [State Name]
County of [County Name]
Now comes [Affiant's Full Name], being duly sworn, and states the following:
- I am the [Relationship to Child] of the person whose birth is the subject of this affidavit, [Child's Full Name].
- The child was born on [Date of Birth].
- The place of birth is [City, County, and State of Birth].
I have personal knowledge of the above facts and affirm the following additional details:
- Mother's Full Name: [Mother's Full Name]
- Father's Full Name: [Father's Full Name]
- Birth Certificate Number (if applicable): [Certificate Number]
This affidavit is made under the laws of the State of [State Name] to declare the birth of [Child's Full Name] and for all legal purposes as required.
In witness whereof, I have hereunto set my hand this [Day] day of [Month], [Year].
____________________________
[Affiant's Signature]
[Printed Name of Affiant]
Subscribed and sworn to before me this [Day] day of [Month], [Year].
____________________________
[Notary Public Name]
My commission expires: [Expiration Date]