Affidavit of Birth
This Affidavit of Birth is prepared in accordance with the laws of the State of [State Name]. It serves as a legal document to affirm the identity and birth details of the individual named herein.
By signing this affidavit, the undersigned certifies that the following information is true and correct to the best of their knowledge.
Affiant Information:
- Full Name: ____________________________
- Address: ______________________________
- City: _________________________________
- State: ________________________________
- Zip Code: ____________________________
- Phone Number: ________________________
Child's Information:
- Full Name: ____________________________
- Date of Birth: _________________________
- Place of Birth: ________________________
- Gender: ________________________________
Relationship to Child: ________________________
Affirmation:
I, the undersigned, hereby affirm that the above details regarding the birth of the child are accurate.
Signature of Affiant: ________________________
Date: ________________________
Notary Public:
State of [State Name]
County of ________________________
Subscribed and sworn before me this _____ day of __________, 20__.
Signature of Notary Public: ________________________
My Commission Expires: ________________________