Child Support Affidavit
Child Support Affidavit
I, [Your Name], residing at [Your Address], hereby declare and affirm under penalty of perjury, under the laws of the state of [State], that I am financially responsible and willing to provide support for my child, [Child's Full Name].
-
I am the biological parent of [Child's Full Name], born on [Child's Date of Birth], and have legal custody of him/her.
-
I am employed as a Software Engineer at [Your Company Name], located at [Your Company Address]. My employment began on [Start Date], and I receive a salary of $100,000 per year. I have been employed here for year years.
-
My gross income, as evidenced by my pay stubs and tax returns for the past 5 years, averages approximately $110,000 annually.
-
In addition to my salary, I also receive the following benefits from my employer:
Health insurance coverage for myself and my dependents.
Retirement contributions.
Other fringe benefits, such as bonuses or stock options, as applicable.
-
I hereby affirm that I will continue to provide financial support for [Child's Full Name] to ensure their well-being, including but not limited to:
Housing: I will ensure that [Child's Full Name] has a safe and stable place to live.
Education: I will contribute to the costs associated with [Child's Full Name]'s education, including tuition, books, and other related expenses.
Healthcare: I will provide health insurance coverage for [Child's Full Name] and will cover any medical expenses not covered by insurance.
Basic Needs: I will ensure that [Child's Full Name] has access to food, clothing, and other necessities.
-
I understand that by signing this affidavit, I am legally obligated to provide support for [Child's Full Name] to the best of my ability. I further understand that any false statements made herein are punishable under penalty of perjury.
[Your Name]
[Date]