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Affidavit of Birth: Subscribed and Sworn To Before Me This Day of 20 (Notary Public), County. My Commission Expires 20

This affidavit of birth is being provided in lieu of an official birth certificate. The affidavit establishes the applicant's date and place of birth, parents' names, and the affiant's relationship to the applicant and ability to attest to the applicant's birth details.

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Britney Brooks
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193 views

Affidavit of Birth: Subscribed and Sworn To Before Me This Day of 20 (Notary Public), County. My Commission Expires 20

This affidavit of birth is being provided in lieu of an official birth certificate. The affidavit establishes the applicant's date and place of birth, parents' names, and the affiant's relationship to the applicant and ability to attest to the applicant's birth details.

Uploaded by

Britney Brooks
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AFFIDAVIT OF BIRTH

STATE OF
COUNTY OF

I, , born in ,
aged and currently residing at ,
in the county of in the state of ,
being duly sworn, do hereby depose and attest that:

1. I am a citizen of this country and over the age of 18.

2. I am attesting on behalf of the Applicant,


in {his/her} application for

3. My relationship to the Applicant is


We have known each other for years and I have direct personal
knowledge of {his/her} life.

4. The Applicant was born in


Hospital, on the date of at the time of

5. The name of the Applicant’s parents are


and

6. This affidavit of birth is offered in lieu of a birth certificate because

AFFIANT

Subscribed and sworn to before me this day of 20


(Notary Public),
County.

My commission expires 20

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