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MOTHER’S CONSENT TO LEGITIMATION AND CUSTODY/VISITATION - COLUMBIA JUDICIAL CIRCUIT LAST UPDATED 10/17/2022 Page 1 of 2 IN THE SUPERIOR COURT OF COLUMBIA COUNTY STATE OF GEORGIA , * PETITIONER, * * CASE NUMBER: v. * * , * RESPONDENT. * MOTHER’S CONSENT TO LEGITIMATION AND CUSTODY/VISITATION 1. I am the Mother of the minor child(ren) listed below who are the subject of this action filed by the Petitioner. Complete Name of Child First, Middle, Last Sex of Child Year of Birth 2. I hereby give my consent to the following provisions: [Check ONLY if applicable] ☐ The Petitioner legitimating each child whose name is listed above in Paragraph 1. ☐ Changing the children’s names as requested in the Petition for Legitimation and Custody/Visitation. ☐ I agree to the terms outlined in the Parenting Plan attached to the Petition for Legitimation and Custody/Visitation as “Exhibit ☐ The terms contained in the Child Support Addendum attached to the Petition for Legitimation and Custody/Visitation as “Exhibit ---PAGE BREAK--- MOTHER’S CONSENT TO LEGITIMATION AND CUSTODY/VISITATION - COLUMBIA JUDICIAL CIRCUIT LAST UPDATED 10/17/2022 Page 2 of 2 3. I have read this document, and I understand it. I am giving my consent freely and voluntarily. I have checked all of the provision in Paragraph 2 to which I consent. I am not being forced to sign this consent, and I believe this legitimation is in the best interest of my child(ren). 4. I personally appeared before the undersigned Notary Public, and say under oath that I am the Petitioner in the above-styled action and that the facts stated above are true and correct. Mother [Sign in front of notary] Email Address Sworn to and subscribed before me This ___day Notary Public My Commission