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\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \qj \li0\ri0\nowidctlpar\tqc\tx4680\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 
{\f0\insrsid15280132 \tab APPENDIX I
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\insrsid15280132 
\par }\pard \qj \li0\ri0\nowidctlpar\tqc\tx4680\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\insrsid15280132 \tab ACKNOWLEDGMENT OF PATERNITY FOR LEGITIMATION
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\par }{\f0\fs20\insrsid15280132 State of ____________________________________\tab )
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\tab   \tab )ss:
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\tab )
\par 
\par I, _______________________________________________________________ acknowledge that I am the father of
\par        }{\f0\fs16\insrsid15280132 (father's name)}{\f0\fs20\insrsid15280132 
\par _________________________________ born on ____________________ at __________.  At the time of this birth                }{\f0\fs16\insrsid15280132 (child's name)}{\f0\fs20\insrsid15280132                            }{\f0\fs16\insrsid15280132 \tab \tab 
     (date)}{\f0\fs20\insrsid15280132 
\par 
\par I was _______ years old.  I was born at  ____________________________.  Race or color ___________________. 
\par 
\par Occupation _____________________ .  I am now married to _____________________________________, mother
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\tab \tab \tab      }{\f0\fs16\insrsid15280132 \tab \tab (mother's maiden name)}{\f0\fs20\insrsid15280132 
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of ___________________________________________________.  I request that the record of birth now on file be 
\par       }{\f0\fs16\insrsid15280132 \tab \tab \tab (child's name)}{\f0\fs20\insrsid15280132 
\par }\pard \qj \li0\ri0\nowidctlpar\tqr\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 changed accordingly.  The child's name shall be\tab ______________________________________________________.
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\par }\pard \qj \fi4320\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 _________
____________________________________________
\par  FATHER
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\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 
Subscribed and sworn to before me this _______day of ____________________________________, 20_____.
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\par  \tab \tab \tab \tab \tab \tab ____________________________________________________
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__________________________________________________
\par Printed Signature
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 (NOTARY SEAL)\tab \tab \tab 
Notary Public for the State of Montana
\par }\pard \qj \fi4320\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 
Residing at:  _______________________________________
\par My  Commission expires:  ________________________________
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               ) ss.\tab 
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\par 
\par I,___________________________ acknowledge that I am the mother of ____________________________born on
\par     }{\f0\fs16\insrsid15280132        (mother's maiden name)}{\f0\fs20\insrsid15280132 
\par _______________________ at_____________________. The father is_____________________________.  I am              }{\f0\fs16\insrsid15280132 (date)}{\f0\fs20\insrsid15280132 
\par  now married to___________________________________.    I request that the record of birth now on file be changed 
\par 
\par accordingly.\tab \tab \tab \tab \tab _____________________________________________________
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\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 
Subscribed and sworn to before me this ______day  of ____________________________________, 20_____.
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 
\par }\pard \qj \fi4320\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 
____________________________________________________
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0\pararsid15280132 {\f0\fs20\insrsid15280132 (NOTARY SEAL)\tab \tab \tab 
Notary Public for the State of Montana
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__________________________________________________
\par Printed Signature
\par Residing at:  _______________________________________
\par My  Commission expires:  ______________________________
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\par }}