Affidavit of Birth Template
This Affidavit of Birth is created based on the laws of [State Name]. It serves to affirm the birth details of the individual named herein.
I, [Affiant's Full Name], residing at [Affiant's Address], hereby declare and affirm under penalty of perjury that the following statements are true and correct to the best of my knowledge:
- Name of the Child: [Child's Full Name]
- Date of Birth: [Child's Date of Birth]
- Place of Birth: [City, County, and State of Birth]
- Parents' Names:
- [Father's Full Name]
- [Mother's Full Name]
- Child's Gender: [Male/Female]
This declaration of birth is made to establish the facts of birth for the aforementioned child. I understand that this affidavit may be used for legal purposes such as obtaining a birth certificate or other government documentation.
Executed on this [Day] day of [Month, Year] in [City, State].
______________________________
Signature of Affiant
______________________________
Printed Name of Affiant
Notary Public:
Subscribed and sworn to before me this [Day] day of [Month, Year].
______________________________
Notary Public Signature
______________________________
Printed Name of Notary Public
My Commission Expires: [Expiration Date]