Paternity Affidavit printable pdf download

Paternity Affidavit

The Muscogee (Creek) Nation of Oklahoma

Citizenship Board

Board Members

Nelson Scott Harjo

Director

Joan Henson

Nathan Wilson

Elizabeth Yahola

Clarence Johnson

Manager

Darlene Taryole

Tracy Wade

AFFIDAVIT OF PATERNITY

I, _________________________________ of lawful age, being first duly sworn, deposes and

(Print FATHER’S Full Name)

says as follows:

I hereby acknowledge I am the biological father of ___________________________________,

(Print CHILD’S Full Name)

born on ____________________. The birth occurred in the State of

and

(CHILD’S Date of Birth)

NO ADOPTION has taken place. I understand if I submit any false information, all rights and

privileges of citizenship in the Muscogee (Creek) Nation will be irrevocably removed.

____________________

__________________________________

Date

Biological Father’s Signature & Roll No.

______________________________________________________________________________

NOTARY PUBLIC USE ONLY

State of _____________________

County of _____________________

Subscribed and sworn to before me this _______ day of _____________________, 20 ______.

My commission expires:

___________________

_________________________________

Notary Public

Muscogee (Creek) Nation ~ Citizenship Office ~ P.O. Box 580 ~ Okmulgee, OK 74447

You may contact our office at 1-800-482-1979 or (918) 756-8700, ext. 7940/7941/7942/7943

Paternity Affidavit