Prepared by and After Recording Return To

Prepared by and after recording return to: c/o John Quincy Doe 123 Anywhere street City, State, [zipcode]

Above This Line Reserved For Official Use Only ______Supporting Affidavit in the Matter of Birth Record Correction

I, the undersigned affiant, Joseph Bar of the family (lawful house)Doe, deposes and says:

I am a living man, having firsthand knowledge of the facts stated in the affidavit of John Quincy of the family Doe as I am in fact the biological father of the baby boy who came into this world on Month day, 19XXnamed John Quincy and I was in attendance for the event that day and can attest that he is the sole (soul) survivor of that event. I Joseph Bar of the family Doe state and declare that John Quincy is in fact my offspring and a living man having reached the age of majority and is in fact one and the same as named in the aforementioned CERTIFICATE OF LIVE BIRTH

Affiant ______

sworn to before me and signed in my presence by the said Joseph Bar of the family

(lawful house)Doe on this ______day of ______2016

______Notary my commission expires on:______and my seal is set hereon.

[seal]

c/o John Quincy Doe 123 Anywhere street City, State, [zipcode]

Above This Line Reserved For Official Use Only ______Supporting Affidavit in the Matter of Birth Record Correction

I, the undersigned affiant, Mary Mer joined to the family (lawful house)Doe in holy matrimony to Joseph Bar of the family (lawful house) Doe, deposes and says:

I am a living woman, having firsthand knowledge of the facts stated in the affidavit of John Quincy of the family Doe as I am in fact the biological mother of the baby boy who came into this world on Month day, 19XX named John Quincy and I was in attendance for the event that day and can attest that he is the sole (soul) survivor of that event. I Mary Mer of the family Doe state and declare that John Quincy is in fact my offspring and a living man having reached the age of majority and is in fact one and the same as named in the aforementioned CERTIFICATE OF LIVE BIRTH

Affiant ______

sworn to before me and signed in my presence by the said Mary Mer (lawful house)Doe on this ______day of ______2016

______Notary my commission expires on:______and my seal is set hereon.

[seal]