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AFFIDAVIT OF LEGITIMATION
That since _________, we lived together as husband and wife without the benefit
of marriage and cohabited;
_____________________________________________________________________;
as such fact is shown in his/her Certificate of Live Birth, and that by reason of our
_____________________________;
__________________________________.
IN WITNESS WHEREOF, we have hereunto affixed our signature this
_______________________ _____________________
Affiant Affiant
Gov. Issued ID: _____________ Gov. Issued ID: _________
No. _______________________ No. ___________________