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Affidavit Of Age Of Child

STATE OF ----------)

) s.s.:

COUNTY OF ---------)

[Name] (Affiant), being duly sworn, deposes and says:

1. That Affiant is the [relationship] of the minor child [name].

2. That Affiant is well acquainted with the child and states that to the best of Affiant's knowledge the child was born on or about [date], and is now [number] years of age.

[signature]

Affiant

[Acknowledgment]