Affidavit of Paternity by Father of Child by pellcity27

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									                   Affidavit of Paternity by Father of Child

State of __________________
County of ________________

       PERSONALLY appeared before me, the undersigned authority in and for
said county and state, (Name of Father) who, having been being first duty sworn
by the undersigned Notary Public, deposes and says:

1.   I do hereby declare that I am the father of a (male or female) child, since
named (Name of Child), an infant born to (Name of Mother), on (date), at (e.g.,
name and address of hospital).

2.    At the time of the birth of (Name of Child), (Name of Mother) and I 
								
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