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Affidavit Of Parentage 154 - Delaware
| Affidavit Of Parentage Form. This is a Delaware form and can be used in Family Court Statewide . |
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Form 154 (Rev 03/12) The Family Court of the State of Delaware In and For Petitioner Name New Castle Respondent Name Kent Sussex County Affidavit of Parentage File Number Petition Number In the interest of 1. Who is the child's birth mother? If "other" provide address: 2. Genetic Testing ordered by the Family Court or the Division of Child Support Enforcement: Has never been conducted; or May have been conducted but I do not know the result; or Excluded Established 3. as a parent of this child; or Petitioner Respondent other: DOB: as a likely parent of this child by a 99% or greater probability. No one"): On the line provided identify any person for whom any of the following applies (or affirmatively mark " No one No one No one No one No one has been identified as a parent by a Court or administrative order in any legal proceeding; has signed an acknowledgement of paternity on file with an Office of Vital Statistics. has been identified as a parent on the child's official birth registration. participated in assisted reproduction intending to become a legal parent of this child. resided in same household and held the child out as their own for 1 2 years of child's life. st 4. Was this child born during a marriage or civil union or within 300 days after divorce or dissolution? If "yes": What is the name of the birth mother's spouse (or ex-spouse)? Has the spouse openly held this child out as his or her own? Did Mother and Husband (if applicable) cohabitate or engage in sexual intercourse with each other during the probable time of conception? YES YES NO NO YES NO 5. State the name and address (if known) of any person identified in paragraph 3 or 4 who is not already a party to this petition: COMPLETE ONLY IF YOU ARE THE CHILD'S MOTHER 6. 7. I am the child's mother and I believe the child's biological father is my spouse; unknown. From 300 days prior to my child's birth to the time I first learned I was pregnant, the person identified in paragraph 6 was: The only person with whom I had sexual intercourse; (or) Not the only person with whom I had sexual intercourse. I choose to not respond and prefer the Court or DCSE to order genetic testing to determine parentage. I conceived my child by assisted reproduction and an anonymous sperm donor. SWEAR (or) AFFIRM under penalty of perjury that the above information is true and correct to the best of my belief. I ___________________________________________________ PETITIONER / RESPONDENT State of Delaware, County of New Castle Kent Sussex SIGNED AND SWORN TO (OR AFFIRMED) BEFORE ME ON ______/______/______ by _______________________________ NAME OF AFFIANT ____________________________________________________ NOTARIAL OFFICER 29 DEL. C. §4323(A) American LegalNet, Inc. www.FormsWorkFlow.com
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