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Parentage Affidavit Form. This is a Vermont form and can be use in Family Court Statewide.
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Tags: Parentage Affidavit, 818, Vermont Statewide, Family Court
Form 818
PARENTAGE AFFIDAVIT
Vermont
Family Court
County
Docket Number
Defendant
Plaintiff
VS.
Name
is the biological mother of the following child/ren:
1.
Name of Child
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
and is a resident of
County
Name
is the biological father of the child/ren named in
-
2.
City/Town
Section # 1 and is a resident of
State
County
Name
Date
,
3. On or about
became pregnant with the child/ren named in Paragraph # 1.
4. The following facts support my allegations of parentage:
a.
1. We lived together from
to
to
2. The alleged father lived with the child from
3. The alleged father visited the child on the following occasions:
b.
1. The alleged father has provided food, clothing or financial support for the child.
2. The alleged father claimed the child on his tax return.
c. The alleged father
offered to pay for an abortion;
offered to pay
Paid for medical expenses related to the birth of the child.
d. I have always asserted that
e. On
the father of the child.
Rev. 1/04 SML
(date), I told
is the father of the child as follows:
that
I was
he was
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Form 818 back of page 1
f.
has admitted that he is the father of the child as follows:
g. The alleged father visited
the mother
the child at the hospital during the birth.
h. The alleged father was present at the birth of the child.
i. The alleged father is named on the birth certificate.
Copy attached.
j. The alleged father has acknowledge in writing that he is the father of the child as follows:
(Copies attached)
k. The alleged father sent cards/correspondence regarding the pregnancy and birth of the child as follows:
(Copies attached)
l. The alleged father provided gifts for the child as follows:
m. The child resembles the alleged father as follows:
n. Other:
Signature
Subscribed and sworn to before me this
Notary Public
day of
Date
,
20
Expiration Date
Rev. 1/04 SML
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