Affidavit of Parentage Completed Form Examples and Samples

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A filled Affidavit of Parentage document showing extracted data points.

Source document used: Attorney Case Memo / Client Consultation Notes

Attorney Consultation Memo: Re: Case of Sarah Jenkins. During our meeting on February 12, 2026, Sarah Jenkins (current age 29, residing at 442 Maple Lane, Springfield, IL) sat down to initiate the process for establishing parentage for her child, Leo Thomas Jenkins. Leo was born on November 15, 2025, at 4:12 AM at Mercy General Hospital in Springfield, Illinois. Sarah is currently unmarried and wishes to officially identify the biological father, Robert Michael Vance. Robert, who is 32 years old, is currently residing at 8820 Oak Creek Drive, Chicago, IL, and was last known to be employed at Global Logistics Solutions at 100 Industrial Way, Chicago, IL. Sarah described Robert as being approximately 6'1" tall and weighing around 190 lbs. He is Caucasian with a fair complexion, and he typically keeps a short, well-groomed beard. He has light brown hair and is known to wear thin, silver-rimmed glasses. Of note, he has a prominent scar on his left forearm and a small anchor tattoo on his right shoulder. Sarah was provided the necessary legal disclosures regarding this affidavit by our senior paralegal, Marcus Thorne, during this session. We expect to move forward with the filing once these details are verified against the hospital birth records we have requested.