49 C.F.R. § 1112.9 Sample verification for statement of fact under modified procedure.
Title 49 - Transportation
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 __________.
Title 49: Transportation
PART 1112—MODIFIED PROCEDURES
§ 1112.9 Sample verification for statement of fact under modified procedure.
