Pennsylvania Consolidated & Unconsolidated Statutes
Chapter 62 - Uniform Unsworn Declarations Act
Section 6206 - Form of unsworn declaration

An unsworn declaration under this chapter must be in substantially the following form:
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct.
Signed on the........day of........,........,
at............................................,
(date)........(month)...........(year).........
(county or other location, and state)............
...............................................
(country)..................................
(printed name).............................
(signature)................................
(Apr. 20, 2020, P.L.82, No.15, eff. imd.)

Structure Pennsylvania Consolidated & Unconsolidated Statutes