DIY Legal Forms

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Disputed Paternity Lump Sum Settlement Before Child's Birth

(Note: Under this agreement, the father denies paternity. To be used before birth of the child, this form creates a release from paternity claims, in exchange for a lump sum settlement.)


[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]. Mother alleges that Putative Father is the Father of the child.

Alleged Father disputes the claims of Mother and does not admit paternity of the child.

The parties desire to resolve this matter without the uncertainties and expense of litigation. In consideration of the agreement herein Mother agrees that she will not bring any proceeding for paternity before any court or administrative agency. Mother herewith releases Father from any and all claims related to the paternity and support of the child.

In consideration of the terms and conditions provided herein, Alleged Father shall pay to Mother the sum of [$-------], the sufficiency of which as adequate consideration is agreed on or before [Date]. In the event that the consideration is not timely paid this agreement shall be of no effect.

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.





Alleged Father

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]