Mother’s Consent to Legitimation, Page 2 of 2
Provided by Rockdale County and prepared largely from forms of Atlanta Legal Aid Society
_____ (d) I agree to the following arrangement concerning custody and visitation
_____ (e) On the issue of child support:
[Write your initials next to only one of the following, (1) to (4).]
_____ (1) Child support has already been decided for these children by a court or
agency in another case.
_____ (2) I want the Court to decide child support and enter a child support order as
part of this legitimation case. I have filed or will file my Financial
Affidavit.
_____ (3) The Petitioner and I have reached an agreement on child support for these
children, and it is consistent with the Georgia child support guidelines.
The Petitioner’s gross income is $ per month, and my gross
income is $ per month. We have agreed that
will pay child support in the amount of $ per month
to . The Child Support worksheets show
the number for this agreement.
_____ (4) The parties live together with the children, so no child support order is
necessary.
3.
I have read this consent document, and I understand it. I am giving my consent
freely. I have written my initials next to all of the provisions in Paragraph 2 to which I am
agreeing. I am not being forced to sign this consent, and I believe this legitimation is in the
best interest of my child(ren).
Subscribed & sworn to before me on
, 202 .
Notary Public
Commission Expires:
_________________________________________
Mother / Respondent (Signature)
Printed Name: _____________________________
Address: _________________________________
________________________________________
________________________________________
Phone: __________________________________
Email: __________________________________