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)