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Child Support Agreement Illegitimate Child

(Note: This form acknowledges paternity of a child and establishes regular child support payments.)

AGREEMENT FOR CHILD SUPPORT

[Name] of [Address], hereinafter referred to as Mother, and [Name] of [Address], hereinafter referred to as Father, do hereby agree:

Father acknowledges paternity of a male child born on [Date] at [City] of [State] named [Name].

The parties are not married to another nor have they been married to one another.

The child's name after the execution of this agreement shall be [Name]. 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:

NOON TO [--] PM, SATURDAYS; ALTERNATE CHRISTMASES

Father shall obtain and maintain the following insurance for the child:

HEALTH & LIFE

Mother waives the right to institute paternity or other proceedings against Father.

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.

Dated:

Signature

Mother

Signature

Father

This Section for Notary:

Acknowledgment

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.

[signature]

[Name of Notary Public]

My commission expires: [date]

(Seal)