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Acknowledgement Of Paternity After Child's Birth
(This form allows the father to acknowledge paternity of a child after its birth. Does not address child support.)
[Name] of [Address], hereinafter referred to as Mother, and [Name] of [Address], hereinafter referred to as Father, do hereby agree:
Mother gave birth to a male child born on [Date] at [City] of [State] named [Name]. Father acknowledges paternity of the child.
This Section for Notary:
STATE OF -------)
) ss: [date]
COUNTY OF ------)
On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(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 signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.
[Name of Notary Public]
My commission expires: [date]