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LDSS5171 (Rev. 04/21)Acknowledgment of Parentage Signing this form is voluntary. This is a legal document. Read the entire form before you sign. To assist you in determining your eligibility to sign
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How to fill out acknowledgment of parentage

01
Obtain the acknowledgment of parentage form from your state's vital records office.
02
Fill in the mother's information, including her full name, address, and date of birth.
03
Fill in the father's information, including his full name, address, and date of birth.
04
Both parents must sign the form in the presence of a notary public.
05
If the father is not present at the time of signing, his signature can be notarized later and attached to the form.

Who needs acknowledgment of parentage?

01
Parents who wish to establish legal paternity for a child born out of wedlock.
02
Parents who want to ensure that both parents have legal rights and responsibilities with regards to the child.
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Acknowledge of parentage is a legal document signed by both parents acknowledging paternity of a child born outside of marriage.
Both parents of a child born outside of marriage are required to file acknowledgment of parentage.
Acknowledgment of parentage can be filled out at the hospital after the birth of the child or at the local vital records office.
The purpose of acknowledgment of parentage is to establish legal paternity of a child born outside of marriage.
The acknowledgment of parentage must include the names and signatures of both parents, the name of the child, and the date of birth of the child.
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