Académique Documents
Professionnel Documents
Culture Documents
Stateof_____________}
}SS
Countyof____________}
RE:BirthCertificate
I,theundersigned,oflawfulageandbeingfirstdulysworn
onoath,
deposeandstatethatIamfamiliarwiththefactsrecited,
andthe
partynamedinsaidbirthcertificateisthesamepartyas
oneofthe
ownersnamedinsaidcertificateoftitle.
__________________________________
Signature
Signedandsworntobeforemethis________dayof
_____________________,20_____.
________________________________
________________________________
Notary
Public
My
CommissionExpires