Affidavit of Birth
This Affidavit of Birth is executed in accordance with the laws of the State of [Your State], specifically referencing [Relevant State Statute, if applicable]. This document serves to affirm the birth of the individual named below.
Being duly sworn, I, [Affiant's Full Name], residing at [Affiant's Address], do hereby declare and state as follows:
- Affiant's Information:
- Full Name: [Affiant's Full Name]
- Date of Birth: [Affiant's Date of Birth]
- Relationship to Child: [Relationship]
- Contact Information: [Affiant's Phone Number and Email Address]
- Child's Information:
- Name of Child: [Child's Full Name]
- Date of Birth: [Child's Date of Birth]
- Place of Birth: [Hospital or Location]
- This affidavit is made for the purpose of establishing the birth record of the above-named child.
- I affirm that the information provided in this affidavit is true and correct to the best of my knowledge and belief.
In witness whereof, I have hereunto set my hand this [Day] day of [Month, Year].
______________________________
(b) [Affiant's Signature]
______________________________
(Title or Notary Public)
Subscribed and sworn to before me this [Day] day of [Month, Year].