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Affidavit of Birth: Furthermore

This document is an affidavit of birth that certifies an individual's birth details. It includes statements from an affiant certifying their birth date and location. The affiant then declares under penalty of perjury that the information provided is true and correct. The document is signed by the affiant and notarized.

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Aashi
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509 views3 pages

Affidavit of Birth: Furthermore

This document is an affidavit of birth that certifies an individual's birth details. It includes statements from an affiant certifying their birth date and location. The affiant then declares under penalty of perjury that the information provided is true and correct. The document is signed by the affiant and notarized.

Uploaded by

Aashi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AFFIDAVIT OF BIRTH
FOR

I, , residing at , , , hereby certify that I was born on in the City, Town or Province of in the Country of .

FURTHERMORE,

This Affidavit of Birth is being prepared and executed on behalf of the following individual:

was born on at in the City, Town or Province of , in the State of located in the Country of for the purpose and reason of .

THEREFORE, I declare under the penalty of perjury and in accordance to law, that the above statement of information is true and correct to the best of
my knowledge.

______________________________________________ ______________________________
(Affiant Signature) (Date)
STATE OF )
) ss:
COUNTY OF )

NOTARY ACKNOWLEDGMENT

On ___________________ the aforementioned Affiant did personally appear before me, and who is personally known to me (or proven to me on the
basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the
same in his/her authorized capacity, and that by his/her signature on the instrument above, or the entity upon behalf of which the person acted, executed
the instrument.

WITNESS my hand and official seal.

_______________________________________________________
(NOTARY SIGNATURE)

My Commission Expires: __________________________________

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