STATE OF LOUISIANA
PARISH OF [Parish Name]

Introduction:

I, [YOUR NAME], being duly sworn, do hereby declare that I am the biological and legal father of [Child’s Name], born on [Date of Birth], in [City, Louisiana], to [Mother’s Name].

Statement of Facts:

1. [Child’s Name] was born on [Child's Date of Birth] at [Hospital Name, City, Louisiana], establishing a family connection with [YOUR NAME] and [Mother’s Full Name].

2. [YOUR NAME], the father, whose birthdate is [Father's Date of Birth], resides at [YOUR ADDRESS] and works as an [Occupation]. His identification is verified through Driver’s License/State ID No.: [Number].

3. The mother, [Mother’s Name], born on [Mother's Date of Birth], shares the same residence at [Mother's Address].

4. This documentation consolidates the family's personal information, underscoring the legal and social ties among the members for official or verification purposes.

5. I voluntarily acknowledge paternity of the aforementioned child and understand that this acknowledgment establishes my legal rights and responsibilities as the father, including but not limited to child support, custody, and visitation rights.

Declaration:

I understand that this Affidavit of Paternity is a legally binding document and that signing it is a voluntary act. I am fully aware of the rights and responsibilities that arise from acknowledging paternity and affirm that this declaration is made in good faith and with full knowledge of its implications.

Statement of Truth:

I affirm under penalty of perjury under the laws of the State of Louisiana that the information provided in this affidavit is true and correct to the best of my knowledge, information, and belief.

Executed on this [DAY] of [MONTH], [YEAR].

Signature:

[YOUR NAME]

Subscribed and sworn to (or affirmed) before me on this [DAY] of [MONTH], [YEAR], by [YOUR NAME].

[Notary Public’s Signature]
Notary Public for the State of Louisiana

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