Affidavit of Birth
  • Affidavit Details
  • Complete the Document

Who is Affiant?

  • Indicate the full name of an affiant (a person, who issues this affidavit):

  • Select the affiant's date of birth:

  • Indicate an affiant's current residential address:

  • Provide an affiant's state and city/town of birth:

  • Indicate the name of the county where the Affiant currently resides:

  • Select the state, where the Affiant currently resides:

Birth Details

  • Indicate the full legal name of the individual whose birth details are to be verified by this affidavit (Applicant):

  • Indicate the Applicant's age:

  • Indicate the Applicant's current residential address:

  • Indicate the Applicant's citizenship:

    !

    If the individual holds dual or multiple citizenships, specify the names of all countries in your response to this question.

  • Select the Applicant's marital status:

  • Select the approximate date on which the Affiant met the Applicant:

  • Select the date on which the Applicant was born:

  • Indicate the name of the city/town and the state, where the Applicant was born:

Miscellaneous

  • Describe in detail for which reason the Affiant signs this affidavit:

  • Describe the circumstances that enable the Affiant to attest to the details of the Applicant’s birth:

  • Indicate the full name of the Applicant's first parent:

  • Indicate the full name of the Applicant's second parent:

  • Do you want to add a signature?

  • Affiant's signature:

Select a template's format:

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