Date: [Insert Date]
To Whom It May Concern:
Re: Voluntary Acknowledgment and Recognition of Paternity of Li An
I, Gao Wei (the “Acknowledging Father”), hereby make the following formal acknowledgment of paternity with respect to the minor child identified below. This instrument is intended to constitute a voluntary acknowledgment of paternity and to be filed or otherwise given legal effect pursuant to the applicable parentage statutes and civil registration procedures of [Insert Governing Jurisdiction].
1. Parties and Child
- Acknowledging Father: Gao Wei (高维), [Date of Birth], [Nationality], [Residential Address], [Government ID/Passport No.].
- Child: Li An (李安), [Date of Birth], [Place of Birth], [Birth Certificate/Registration No., if available].
- Mother: [Full Legal Name of Mother], [Date of Birth], [Nationality], [Residential Address], [Government ID/Passport No.].
2. Acknowledgment of Paternity
- I hereby acknowledge and affirm that I am the natural and legal father of the minor child Li An.
- This acknowledgment is made knowingly, voluntarily, and without coercion, duress, or undue influence. I am of full age and sound mind and competent to execute this instrument.
- I understand that, upon execution and, where required, proper filing or registration, this acknowledgment establishes a legal parent–child relationship between me and Li An with the same force and effect as a judicial determination of parentage, subject to applicable statutory provisions governing rescission, challenge, or vacation.
3. Representations and Advisements
- I have been advised that I have the right to seek independent legal counsel prior to signing this acknowledgment and that I may request genetic testing before executing it. I knowingly waive genetic testing for purposes of this acknowledgment, unless otherwise required by law or ordered by a competent authority.
- To the best of my knowledge and belief, no other individual qualifies as a presumed, acknowledged, or adjudicated father of the child under the parentage laws of [Insert Governing Jurisdiction].
- I understand that this acknowledgment may be subject to a statutory rescission period and to limited bases for later challenge (e.g., fraud, duress, or material mistake of fact) as provided by the laws of [Insert Governing Jurisdiction]. I further understand that any rescission or challenge must be made in the manner and within the time limits prescribed by statute.
4. Legal Consequences
- I acknowledge that, as the child’s legal father, I assume all parental rights and responsibilities imposed by law, including but not limited to the duty of support, and I recognize the child’s rights arising from this legal relationship, including inheritance rights as provided by applicable law.
- Issues of legal custody, physical custody/parental responsibilities, parenting time, decision-making authority, relocation, and child support are not adjudicated by this acknowledgment and remain subject to the laws of [Insert Governing Jurisdiction] and to any subsequent written agreement approved by a competent authority or any order of a court of competent jurisdiction.
- I consent to the use of this acknowledgment to amend or create the child’s birth record or civil registration to reflect me as the father, in accordance with the procedures of the civil registry/vital statistics authority of [Insert Governing Jurisdiction].
5. Governing Law and Filing
- This acknowledgment is executed pursuant to and intended to comply with the parentage and civil registration statutes and regulations in force in [Insert Governing Jurisdiction, e.g., “the Civil Code and relevant administrative measures of [Province/City], People’s Republic of China,” or “the [Uniform Parentage Act as adopted in] [State/Country]”].
- The parties understand this instrument may need to be filed with or presented to [Insert Name of Civil Registry/Vital Records Authority] to take legal effect and/or to update the child’s civil/birth record.
Executed as a formal acknowledgment of paternity on the date(s) indicated below. I declare under penalty of perjury (where applicable under the law of [Insert Governing Jurisdiction]) that the foregoing is true and correct.
Acknowledging Father:
Signature: ______________________________
Printed Name: Gao Wei (高维)
Date: ____________________
Mother’s Consent and Concurrence (recommended/required where applicable):
I, [Mother’s Full Name], being the mother of Li An, hereby concur in and consent to this acknowledgment, affirm that Gao Wei is the biological father of the child, and confirm that no other person is a presumed, acknowledged, or adjudicated father under applicable law.
Signature: ______________________________
Printed Name: [Mother’s Full Name]
Date: ____________________
Witnesses (if required by law):
Witness 1 Signature: _____________________ Printed Name: _____________________ Date: ___________
Witness 2 Signature: _____________________ Printed Name: _____________________ Date: ___________
Notarial Acknowledgment (if required by law):
State/Country of ______________________ )
County/City of _______________________ ) ss.
On this ______ day of ____________, 20____, before me, the undersigned notary public, personally appeared Gao Wei, and (if applicable) [Mother’s Name], proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to this instrument, and acknowledged that he/she/they executed the same for the purposes therein contained.
Notary Public Signature: __________________________
Printed Name: ___________________________________
My Commission Expires: ___________________________
Seal/Stamp: [Affix Notarial Seal]
Attachments (recommended):
- Clear copies of valid government identification for the Acknowledging Father and Mother.
- Copy of the child’s birth certificate or civil registration, if available.
- Certified translation(s), if required by the filing authority.
