AFFIDAVIT TO PROVE AGE OF CHILD AFFIDAVIT I, __________________________ (Full Name), being of lawful age, depose and swear: I am the ____________ (Mother/Father) of ________________________________ (Child), who was born on __________ (Date), at ____________________________ (Address), and is presently _____ (_____) years and _________ (_____) months of age. The child presently resides with me at _______________________________________ (Address). _____________________________________________ _________________ Signature Date Sworn before me on this _______ day of ______________________ (Date). __________________________________ Notary Public __________________________________ My Commission Expires