Affidavit of Birth Template
This Affidavit of Birth is made to validate the birth of the individual named below, in accordance with the laws of the State of [Your State Name].
Affidavit of Birth
I, [Affiant's Full Name], residing at [Affiant's Address], being duly sworn, do hereby affirm as follows:
- Name of the Child: [Child's Full Name]
- Date of Birth: [Child's Date of Birth]
- Place of Birth: [City, County, State of Birth]
- Name of the Parent(s): [Parent(s) Full Names]
This affidavit is executed for the purpose of establishing the birth record of the aforementioned child and may be used for all legal requisites.
To the best of my knowledge, I attest that:
- The information provided herein is true and correct.
- I have personal knowledge of the facts stated above.
- I understand that providing false information may result in legal penalties.
In witness whereof, I have hereunto set my hand this [Day] day of [Month], [Year].
Signature of Affiant: ___________________________
Printed Name: [Affiant's Printed Name]
Subscribed and sworn to before me this [Day] day of [Month], [Year].
Notary Public: ___________________________
My Commission Expires: ___________________________
Seal: ___________________________