Affidavit of No Relation

I, [YOUR NAME], residing at [YOUR ADDRESS], being duly sworn, depose and state as follows:

• I am over the age of eighteen (18) years and am competent to make this affidavit.
• I am issuing this Affidavit of No Relation in relation to the adoption proceedings involving [CHILD'S NAME], a minor child, in the [COURT NAME], [CASE NUMBER].

Statement of Facts

1. I certify that I am not related by blood or marriage to the child, [CHILD'S NAME], who is the subject of the adoption proceedings.
2. I have no legal or biological relationship with the child, [CHILD'S NAME], and I have never been married to any person who is related to the child by blood or marriage.

Sworn Oath

I solemnly swear that the foregoing statements are true and correct to the best of my knowledge, information, and belief. I understand that making a false statement in this affidavit is punishable under the law.

Signed under penalty of perjury this [DATE] day of [MONTH], [YEAR].

[YOUR NAME]

Notary Public/Authorized Officer

[NOTARY PUBLIC SEAL]