§ 1112.9 Sample verification for statement of fact under modified procedure.
Primary source
Verbatim text below is from the Electronic Code of Federal Regulations (eCFR), a public-domain U.S. government work. Always verify the current version with the eCFR before relying on it for any legal matter.
Full Text
State of __________, County of __________, SS: __________ being duly sworn, deposes and says that he has read the foregoing statement, knows the facts asserted there are true and that the same are true as stated. Signed __________. Subscribed and sworn to before me this _____ day of __________. Notary Public of __________. My Commission expires __________.
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