Admission Of Paternity Page 2
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2VERIFICATION AND ACKNOWLEDGEMENT
I swear/affirm under oath that I have read the foregoing Admission of Paternity and that the statements set forth
therein are true and correct to the best of my knowledge.
Date:
______________________________
____________________________________________
Petitioner OR
Respondent
Age
____________________________________________
Address
____________________________________________
City, State, Zip Code
____________________________________________
(Area Code) Telephone Number (home and work)
Subscribed and affirmed, or sworn to before me in the County of ______________________, State of
________________, this ___________ day of _______________, 20 ______.
My commission expires: ____________________
___________________________________
Notary Public/Deputy Clerk
JDF 1504
R3/04
ADMISSION OF PATERNITY
Page 2 of 2
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