Birth Certificate Affidavit of Ownership Template
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Birth Certificate Affidavit of Ownership
This Affidavit of Ownership for a Birth Certificate is a legal document that establishes the ownership and authenticity of a birth certificate. It serves as a formal declaration of the possession and control over the referenced birth certificate.
I. Affiant Information
This section contains the personal details of the affiant, who is the person affirming the ownership of the birth certificate.
A. Full Legal Name
[YOUR NAME]
B. Date of Birth
June 6, 2035
C. Address
Las Vegas, NV 89030
D. Contact Information
222 555 7777 , [YOUR EMAIL]
II. Birth Certificate Details
This section specifies the details of the birth certificate in question.
A. Name on Birth Certificate
[YOUR NAME]
B. Date of Birth
June 6, 2035
C. Place of Birth
Las Vegas, NV 89030
D. Birth Certificate Number
184250
III. Statement of Ownership
This section contains a precise statement claiming the ownership of the birth certificate.
I, [YOUR NAME], hereby affirm that I am the rightful owner of the birth certificate described above. I certify that the information provided within this document is accurate and truthful to the best of my knowledge.
IV. Purpose of Affidavit
This section clarifies the reason for which this affidavit is being submitted.
The purpose of this affidavit is to formally declare my ownership of the birth certificate for purposes including, but not limited to:
Legal identification
Personal record keeping
Verification of personal information
V. Sworn Statement
This section includes the sworn statements made by the affiant.
I, [YOUR NAME], do solemnly swear, under penalty of perjury, that the information and statements contained within this affidavit are true and accurate to my knowledge. I understand the penalties for providing false information.
VI. Signature
This section provides a designated space for the affiant’s signature.
[YOUR NAME]
Affiant
Notary Public
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