Perjury statement Sample Clauses

Perjury statement. A request for a PFA, and any supplemental submissions (including additional documents), must include a declaration, signed by a person currently authorized to sign the taxpayer's federal income tax return, in the following form: Under penalties of perjury, I declare that I have examined this request, including accompanying documents, and to the best of my knowledge and belief, the facts presented in support of the request for the Pre-Filing Agreement are true, correct, and complete.

Perjury statement. A request for an LMSB PFA, and any supplemental submissions (including additional documents), must include a declaration, signed by a person currently authorized to sign the taxpayer's federal income tax return, in the following form: Under penalties of perjury, I declare that I have examined this request, including accompanying documents, and to the best of my knowledge and belief, the facts presented in support of the request for the Pre-Filing Agreement are true, correct and complete.

Perjury statement. I hereby swear or affirm under penalty of perjury that the information given herein is true and correct to the best of my knowledge or belief. Applicant Signature Date The signature above indicates this individual has read the Xxxxxxx State Park rules, and regulations, understands and agrees to the considerations and rules contained in the form and in Parks Regulation, Special Activity Agreement, Colorado Statues and as directed by Park Staff I accordance with park rules, regulations and statues and accepts responsibility for the event (to include damage to the park or the rental facility) and all stipulations listed on this form.