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"I declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. Executed on (date). (Signature)".In federal court, a Declaration under penalty of perjury pursuant to 28 U.S.C. § 1746 may be used in lieu of a notarized Affidavit. This the ______ day of. ,20___. Signature. An unsworn declaration is a written statement, signed under penalty of perjury, and without the use of a notary. "I declare (or certify, verify or state) under penalty of perjury that the foregoing is true and correct. "I declare (or certify, verify, or state) under penalty of perjury under the laws of North Carolina that the foregoing is true and correct. "I declare under penalty of perjury that the foregoing is true and correct. Under the act, an "unsworn declaration" is a declaration in a signed record that is not under oath but is given subject to the state penalty for perjury. (5) "Unsworn declaration" means a declaration in a signed record not given under oath but given under penalty of perjury.