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Child Support Agreement
________ [THE MOTHER] referred to as MOTHER, and ________ [THE FATHER] referred to as FATHER, agree:
FATHER acknowledges paternity of a male/female child born on ________ [Date] in ________ [City] named ________ [Child]. The parties are [married], [never married], [living apart/separated].
The child's name after the execution of this agreement shall be ________. Upon request of FATHER, MOTHER shall cooperate with any administrative or other proceeding to effect such name change. Such proceeding shall be at the sole expense of the FATHER.
FATHER agrees to pay child support in the sum of $-------, per month, on or before the [---] day of each month. The sum of child support shall be adjusted on the anniversary of each payment to account for any increase in the consumer price index, cities.
In no event shall the payment decrease from year to year. The child shall have the right to inherit from the estate of the FATHER. Such support shall continue until the child reaches the age of [--], dies or marries.
FATHER shall have reasonable and liberal visitation with the child, as follows:
[Describe in detail]
________ AM/PM. Visitation on Mondays / Tuesdays / Wednesdays / Thursdays / Fridays / Saturdays / Sundays or alternatively _____________________.
FATHER shall obtain and maintain the following insurance for the child:
HEALTH AND LIFE [OTHER]
MOTHER waives the right to institute paternity or other proceedings against FATHER.
No Harassment. Both parties agree not to molest, harass, interfere with, or impose any restraint upon the other, except as set out in this agreement.
Notices. Any notice to be given or to be served upon any party hereto must be in writing and may be given by certified or registered mail, but shall be deemed to have been given and received when a certified or registered letter containing such notice, properly addressed with postage prepaid, is deposited with the United States Postal Service. If notice is given in some manner other than by certified or registered mail, it shall be deemed to have been given when delivered to and received by the party to whom it is addressed, Such notices shall be given to the parties hereto at the following addresses:
If to the FATHER:
[city, state, zip]
If to the MOTHER:
[city, state, zip]
All such notices and communications shall be deemed to have been duly given when delivered by hand, if personally delivered; three (3) business days after deposit in any United States Post Office, postage prepaid, if mailed; when answered back, if faxed; and when receipt is acknowledge. Any party hereto may change its address for purposes of this paragraph by written notice given in the manner provided above.
Neither party has made any representations nor promises, other than those contained in this agreement or in some further writing signed by the party making the representation or promise.
Governing Law. The parties hereby expressly acknowledge and agree that this Agreement is entered into in the State of [STATE] and, to the extent permitted by law, this Agreement shall be construed, and enforced in accordance with the laws of the State of [STATE].
This is the entire agreement between the parties. The provisions herein are specifically enforceable. Any modification to this agreement shall be required to be in writing.
ACKNOWLEDGEMENT BY NOTARY PUBLIC
State of ________)
On ________, before me, ________, Notary Public, personally appeared ________, [Name(s)] who proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signatures on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under the PENALTY OF PERJURY under the laws of the State of _________ that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Name of Notary
My Commission Expires