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Affidavit Of Parentage Form. This is a North Carolina form and can be use in Civil Statewide.
Tags: Affidavit Of Parentage, CV-604, North Carolina Statewide, Civil
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
(TYPE OR PRINT IN BLACK INK)
Index Court File No.
No.
STATE OF NORTH CAROLINA
Calendar No.
:
County
Plaintiff(s)
Name Of Plaintiff (Or Mother)
-against-
:
In The General Court Of Justice
District Court Division
JUDICIAL SUBPOENA
:
VERSUS
: AFFIDAVIT OF PARENTAGE
Name Of Defendant (Or Father)
:
Name And Address Of Father
G.S. 110-132
Name And Address Of Mother
Defendant(s)
:
......................................................
Father's DOB
Race
Father's Social Security No.
THE PEOPLE OF THE STATE OF NEW YORK
Birthplace Of Father (County And State)
Maiden Name Of Mother
Mother's Social Security No.
TO
Name Of Child(ren)
Date Of
Birth
Child(ren)
Birthplace
(County And State)
Social Security No.
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
NOTICE in this action on the part of the
or adjourned date, to testify and give evidence as a witness
Signing this document may impose substantial legal obligations upon you. If you do not fully understand these
obligations, you may consult a lawyer, at your own expense, before signing. Providing false or inaccurate
information on this document may result in criminal penalties against you.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Unless rescinded,whose behalf this subpoena was issued forpaternity and penalty same legal effect as a judgment of as a
the party on this document constitutes an admission of a maximum has the of $50 and all damages sustained
paternity for the purpose of establishing your legal duty to support the above-named children.
result of your failure to comply.
This document may be rescinded by the child(ren)'s mother or the putative father (a) within sixty (60) days of the date
this document is executed, or (b) before entry of an order establishing paternity or ,an orderthe Justices of the child
Witness, Honorable
one of for the payment of
support, whichever is earlier. To rescind this document, you must file a request for rescission with the Clerk of Superior
Court in
County,
day of
, 20
Court and request a hearing before the district court within the time period indicated above. After sixty (60) days have
elapsed, execution of this document may be challenged in court only upon the basis of fraud, duress, mistake, or
excusable neglect.
(Attorney
FATHER'S ACKNOWLEDGMENTmust sign above and type name below)
I, the undersigned, being duly sworn, freely and voluntarily declare and acknowledge that I am the natural father of the
child(ren) named herein, and that the information regarding myself, the natural mother, and the minor child(ren) is true
Attorney(s) for
and correct to the best of my knowledge, information and belief.
Date
SWORN AND SUBSCRIBED TO BEFORE ME
Date
Signature Of Person Authorized To Administer Oaths
Signature Of Natural Father
Office and P.O. Address
Deputy CSC
Assistant CSC
Clerk Of Superior Court
Date My Commission Expires
SEAL
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Notary
AOC-CV-604, Rev. 7/01
2001 Administrative Office of the Courts
(Over)
American LegalNet, Inc.
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
MOTHER'S AFFIRMATION
Index No.
I, the undersigned, being duly sworn, declare and affirm that:
:
Calendar No.
1. I am the mother of the above-named child(ren);
:
JUDICIAL SUBPOENA
Plaintiff(s)
2. the above-named father is the father of the above-named child(ren); and
-against-
:
3. the above information regarding myself, the father, and the minor child(ren) is true and correct to the best of my
:
knowledge, information, and belief.
I also declare and affirm that I
born.
was not married
was married: when the above-named child(ren) was/were
Defendant(s)
:
. . you were married to . . . . . . . . . . . than . . . . . . . . . . . . . . . . the
NOTE:. If . . . . . . . . . . . . . . . someone other . . . . the .above-named. father .at . . time you became pregnant or when the child(ren)
was born, you must provide additional evidence (e.g., affidavit from your husband or court order) that your husband is not the
child(ren)'s father.
Date
SWORN AND SUBSCRIBED TO BEFORE ME
THE PEOPLE OF THE STATE OF NEW YORK
Date
Signature Of Person Authorized To Administer Oaths
Signature Of Mother
TO
Deputy CSC
Assistant CSC
Clerk Of Superior Court
Date My Commission Expires
SEAL
Notary
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
AOC-CV-604, Side Two, Rev. 07/01
2001 Administrative Office of the Courts
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.FormsWorkflow.com