CFR /  Title 49  /  Part 1112  /  Sec. 1112.9 Sample verification for statement of fact under 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 __________.