Affidavit of Birth
This Affidavit of Birth is a legal document intended for use in accordance with the laws of [State Name]. It serves to affirm the details surrounding the birth of an individual.
By signing this affidavit, I affirm the following information:
- Affiant’s Name: _______________________________
- Affiant’s Address: _____________________________
- Affiant’s Date of Birth: _________________________
- Child’s Name: ____________________________________
- Child’s Date of Birth: __________________________
- Child’s Place of Birth: _________________________
- Parent(s) Name(s): ____________________________
- Relationship to Child: _________________________
I hereby declare that the information provided above is true and accurate to the best of my knowledge. I understand that any false statements made may lead to legal consequences.
Signed this _____ day of ____________, 20____.
Signature of Affiant: ____________________________
Witnessed by: _____________________________________
Date: ____________________________________________