APPENDIX I

	ACKNOWLEDGMENT OF PATERNITY FOR LEGITIMATION

State of ____________________________________	)
                       			  	)ss:
County of __________________________________	)

I, _______________________________________________________________ acknowledge that I am the father of
       (father's name)
_________________________________ born on ____________________ at __________.  At the time of this birth                (child's name)                           		     (date)

I was _______ years old.  I was born at  ____________________________.  Race or color ___________________. 

Occupation _____________________ .  I am now married to _____________________________________, mother
                    					     		(mother's maiden name)
of ___________________________________________________.  I request that the record of birth now on file be 
      			(child's name)
changed accordingly.  The child's name shall be	______________________________________________________.

_____________________________________________________
 FATHER

Subscribed and sworn to before me this _______day of ____________________________________, 20_____.

 						____________________________________________________
__________________________________________________
Printed Signature
(NOTARY SEAL)			Notary Public for the State of Montana
Residing at:  _______________________________________
My  Commission expires:  ________________________________
State of______________________________)
                 			               ) ss.	
County of____________________________)

I,___________________________ acknowledge that I am the mother of ____________________________born on
           (mother's maiden name)
_______________________ at_____________________. The father is_____________________________.  I am              (date)
 now married to___________________________________.    I request that the record of birth now on file be changed 

accordingly.					_____________________________________________________
MOTHER

Subscribed and sworn to before me this ______day  of ____________________________________, 20_____.

____________________________________________________
(NOTARY SEAL)			Notary Public for the State of Montana
__________________________________________________
Printed Signature
Residing at:  _______________________________________
My  Commission expires:  ______________________________