NOTARIZED AFFIDAVIT OF BIRTH

Introduction

I, [Your Name], being duly sworn, hereby depose and state as follows:

Statement of Facts

1. [Child's Full Name] was born on the [Date of Birth] in the city of [City], [State], USA.
   

2. [Child's Full Name]'s parents are [Father's Full Name] and [Mother's Full Name], both of whom were legally married at the time of [Child's Full Name]'s birth.
   

3. The birth of [Child's Full Name] was attended by a licensed medical professional, [Doctor's Name], who can verify the authenticity of the birth.
   

4. The birth details of [Child's Full Name] are accurately recorded in the official birth records maintained by the [State] Department of Health.
   

5. At the time of [Child's Full Name]'s birth, both parents were citizens of the United States of America.
   

6. I hereby affirm that the statements provided in this affidavit are true and correct to the best of my knowledge and belief.

Sworn Oath

I further affirm that all statements made herein are true and accurate to the best of my knowledge and belief.

Signed under oath on this day, [DATE].

Signature

[Your Name]
Affiant

[Date]

[Notary Public's Name]

Notary Public
My Commission Expires: [Date]

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