Proof Date Birth Affidavit

THIS PROOF DATE BIRTH AFFIDAVIT is executed on [execution_date] at [place]

 

BETWEEN

[party1_name], resident of [party1_address] (First Party)

 

AND

 

[party2_name], resident of [party2_address] (Second Party).

 

The parties hereby agree to the terms recorded in this Proof Date Birth Affidavit on the date above.

 

IN WITNESS WHEREOF the parties have signed this Proof Date Birth Affidavit on the day and year first above written.

 

_________________________ _________________________

First Party Second Party