Michigan Affidavit of Parentage

Michigan Affidavit of Parentage

Introduction

I, [MOTHER'S FULL NAME], the mother, and I, [FATHER'S FULL NAME], the alleged father, hereby voluntarily acknowledge that I am the mother and I am the father of [CHILD'S FULL NAME], born on [CHILD'S DATE OF BIRTH], in the County of [COUNTY], State of Michigan.

Statement of Facts

  1. [MOTHER'S FULL NAME] and [FATHER'S FULL NAME] were not married to each other at the time of the birth of the child.

  2. We both acknowledge that [CHILD'S FULL NAME] is our biological child.

  3. We both understand that by signing this affidavit, we are establishing the legal parent-child relationship between [FATHER'S FULL NAME] and [CHILD'S FULL NAME].

Sworn Oath

I, [MOTHER'S FULL NAME], and I, [FATHER'S FULL NAME], do hereby solemnly swear and affirm under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge.

Signed this [DAY] day of [MONTH], [YEAR].


[MOTHER'S FULL NAME]

[FATHER'S FULL NAME]


Notarization

State of Michigan
County of [COUNTY]

On this [DAY] day of [MONTH], [YEAR], before me, a Notary Public in and for the State and County aforesaid, personally appeared [MOTHER'S FULL NAME] and [FATHER'S FULL NAME], known to me to be the persons whose names are subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.

[NOTARY PUBLIC SEAL]

Notary Public, State of Michigan
My Commission Expires: [DATE]

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