Affidavit of Birth
This Affidavit of Birth is executed for the purpose of certifying the birth details of the individual named herein. It serves as a testimony aligning with the relevant state requirements and is to be completed by an affiant who can attest to the birth circumstances of the individual in question.
Please complete the following information accurately:
State of Affidavit: ___________________ (Specify the state in which this affidavit is being executed; refer only if it involves state-specific laws).
Affiant's Full Name: ________________________________________
Affiant's Relationship to the Subject: __________________________
Subject's Full Name: _________________________________________
Subject's Date of Birth: ______________________________________
Subject's Place of Birth: _____________________________________ (City, County, State)
Subject's Parents' Names:
- Mother's Full Name: ___________________________________________
- Father's Full Name: ____________________________________________
Affidavit Statement:
I, _____________________ (Affiant’s full name), hereby declare under penalty of perjury that the information I have provided in this affidavit regarding the birth details of _____________________ (Subject’s full name) is true and accurate to the best of my knowledge and belief. I understand that this affidavit is prepared in accordance with the laws of the state of _____________________ (State) and may be used for legal purposes where applicable.
Sworn to and subscribed before me on this ____ day of ____________, 20____.
__________________________________
Affiant’s Signature
__________________________________
Signature of Notary Public
My commission expires: _______________
This affidavit is subject to the laws of the state in which it is executed and is intended to be used for lawful purposes only. It may require formal notarization to affirm the identity of the affiant and the veracity of the affiant's statements.