Declaration Under Penalty of Perjury

DECLARATION FORM SPECIFIED BY CODE OF CIVIL PROCEDURE SECTION 2015.5
 

(A) If executed within this state:

"I certify (or declare) under penalty of perjury that the foregoing is true and correct.":

____________________________ __________________________

(Date and Place) (Signature)
 
 

(B) If executed at any place, within or without this state:

"I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct":

____________________________ __________________________

(Date) (Signature)