Sample Affidavit of Paternity

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Republic of the Philippines )

Municipality of )S.S.

AFFIDAVIT OF PATERNITY

I, XXX, of legal age, single, Filipino and a resident of Brgy. Arabunog,


Pastrana, Leyte, do hereby depose and state that:

1. I am the biological father of YYY;

2. My child YYY was born on at Brgy. II Poblacion,


;

3. The facts of the birth of my child were duly registered at the Office of
the Municipal Civil Registrar of ;

4. Being the father of my child YYY, I hereby acknowledge and recognize


her as my child and legal heir; and

5. I am executing this affidavit to attest to the truth of the above facts in


compliance with the provisions of Republic Act No. 9255.

IN WITNESS WHEREOF, I have hereunto set my hands this 27th day of


December, 2019 at , Philippines.

XXX
Affiant

SUBSCRIBED AND SWORN TO before me on the date and place


mentioned above. The affiant exhibiting to me a competent evidence of identity.

Doc. No. ;
Page No. ;
Book No. ;
Series of 2019.

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