BIRTH CERTIFICATE AFFIDAVIT by LeePenny

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									*NOTE: This pertains to the sports that Teams must show the birth dates of their players
(Basketball, Soccer, etc.) Do not fill out this form if it is not necessary. Please have proper
authorities approve and stamp seal.



                BIRTH CERTIFICATE AFFIDAVIT
In accordance with statutes and regulations governing the New Mexico Bureau of Vital Records
and Health Statistics (NMSA 24-14-27) it is unlawful for any person to copy or issue a copy of
all or part of any record except as authorized by law.

This is to certify that I have witnessed a certified copy of the birth certificate of:


Full Name of Child:


File Number:                                 Date of Registration:



Date of Birth:                               Place of Birth (City and Country):



NOTARY



Signature of Notary:                                                        Date:



Printed Name of Notary:

                                                                                           Seal
My Commision Expires:

*File Number: The file number and Date of Registration will appear on all computer generated certified copies
of New Mexico Birth Certificates issued since 1984. Records issued prior to 1984 may reference a certificate
number and will have a file date. All Birth Certificates issued by the Bureau of Records and Vital Statistics will
have the embossed state seal.

								
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