U.S. Code of Federal Regulations

Regulations most recently checked for updates: Jul 18, 2024

§ 1112.9 - Sample verification for statement of fact under modified procedure.
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 __________.