Transferee's. Signature: By signing this affidavit I acknowledge my relationship with the Transferor as an immediate family member. Transferee's Printed.Applicant's Father: Name. Passport No. Date of Naturalization. Signature. The legal mother must sign each The Legal Mother's Affidavit in exactly the same manner as the Surrender of Rights Final Release for Adoption (Legal. Parent). I am giving this affidavit for the use of the Department of Human Services in determining the eligibility of. For TANF and Medicaid. Ensure both parents sign the document in the designated areas. These statutes show that a sworn declaration is just as effective as a notarized Affidavit. That I know of my own personal knowledge that.