JDF 1504 R 3 /1 8 A DMISSION OF PATERNITY Page 1 of 2 District Court Denver Juvenile Court County, Colorado Court Address: In the Interest of: Petitioner: v. Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom ADMISSION OF PATERNI TY I, , the Petitio ner Respondent declare under oath as follows: The mother of the child(ren) is: . I freely admit that I am the father of the following child(ren): Name Sex Date of Birth ADVISEMENT 1. This admission has been given of my own free will. No one has forced me to sign this admission. 2. By signing this Admission of Paternity, I am giving up the right to have genetic tests taken which might be used in my defense. 3. By signing this Admission of Paternity, I un derstand that I am giving up my right to a hearing on the issue of paternity, my right to cross - examine witnesses, to call witnesses on my behalf, to have an attorney represent me, to present evidence in my behalf, and my right to require the other party t o prove that it is more likely than not that I am the father to the child(ren) named above. 4. I understand that under the laws of the State of Colorado, I may be responsible for child support and medical insurance for the child(ren). 5. I have read this Admis sion of Paternity and Advisement, and understand my rights. * *If you have any doubts as to whether you are the father of the child(ren) named in this action, do not sign this form. American LegalNet, Inc. www.FormsWorkFlow.com JDF 1504 R 3 /1 8 A DMISSION OF PATERNITY Page 2 of 2 By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION 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. ( Printed name of Petitioner Respondent Signature of Petitioner Respondent Date 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 American LegalNet, Inc. www.FormsWorkFlow.com