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Back to Forms for 'Parent and Child'.





___________________________________ (Name and Address) referred to as Mother, and _____________________________ (Name and Address) referred to Alleged Father, agree:


Mother is pregnant in approximately the ____________________ month of pregnancy. Mother claims that Alleged Father is the Father of the child.  Alleged Father disputes the claims of Mother and does not admit paternity of the child.


The parties desire to resolve this matter without the uncertainties and expense of

litigation. In consideration of the agreement herein, Mother agrees that she will not bring any proceeding for paternity before any court or administrative agency. Mother herewith releases the Alleged Father from any and all claims related to the paternity and support of the child.


In consideration of the terms and conditions provided herein, Alleged Father shall pay to Mother the sum of $ ____________ the sufficiency of which as adequate consideration

is agreed on/before ___________(date).  In the event that the consideration is not timely paid this agreement shall be of no effect.


This is the agreement between the parties.  Any modification to this agreement shall

be required to be in writing.



_______________________________________               ______________________

Signature of Mother                                                               Date


_______________________________________               ______________________

Signature of Alleged Father                                                    Date

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