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Affidavit Of Mother To Support Notice To Putative Father - Illinois
| Affidavit Of Mother To Support Notice To Putative Father Form. This is a Illinois form and can be used in Child Support Dekalb Local County . |
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IN THE CIRCUIT COURT OF THE TWENTY-THIRD JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS IN THE MATTER OF: _____________________________________, ) ) Case No.:___________________________ ) ) AFFIDAVIT OF MOTHER TO SUPPORT NOTICE TO PUTATIVE FATHER NOTICE TO:______________________________________ Putative Father I, ______________________________________________________, am the mother of a child born on __________________________, 20_____, or to be born on or about __________________________, 20_____, state as follows: 1. That to the best of my knowledge__________________________________________________ is the father of said child whose last known address is __________________________________________ _____________________________________________________________________________________. 2. It is my intention to place or I have placed my child with _______________________________ ______________________________________________________________________________________ for the purpose of adoption. ______________________________________ Signature ______________________________________ Print or Type Name Signed and sworn to before me this __________ day of ____________________, 20_____. ____________________________________________ Notary Public Affidavit of Mother to Support Notice to Putative Father\FA000002.FAM REV: 11/21/2012 American LegalNet, Inc. www.FormsWorkFlow.com
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