Affidavit Of Parentage Page 4

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Form 34A: Affidavit of Parentage
(page 4)
Court File Number
8.
The review in paragraphs 6 and 7 indicates that, other than the child’s mother,
no other person
(full legal name of person(s))
meets/meet the definition of “parent” whose consent would therefore be required before the child could be adopted.
Sworn/Affirmed before me at
municipality
in
province, state or country
Signature
on
(This form is to be signed in front of a
date
Commissioner for taking affidavits
lawyer, justice of the peace, notary public or
(Type or print name below if signature is illegible.)
commissioner for taking affidavits.)
Save Form
Print Form
Clear Form
FLR-34A-E (2005/09)
Page 4 of 4

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