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e-CFR data is current as of September 28, 2020

Title 49Subtitle BChapter XSubchapter BPart 1112 → §1112.9


Title 49: Transportation
PART 1112—MODIFIED PROCEDURES


§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 __________.

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