Certification statement example 2026

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The document is a self-certification statement for small businesses, defining a 'small business' as an in-state entity with specific criteria regarding employee count or annual gross revenue. It requires the authorized person to certify under penalty of perjury that their business meets these definitions.

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Click ‘Get Form’ to open the certification statement example in the editor.
In the first section, enter the legal name of your entity where indicated. This is crucial for identifying your business.
Next, review the definition of a 'small business' provided in the document. Ensure that your business meets at least one of the criteria listed.
Proceed to sign the document by clicking on the signature field. You can draw, type, or upload your signature directly within our platform.
After signing, write your name clearly in the designated area below your signature to confirm your identity as an authorized signer.
Finally, input the date of signing in the specified field to complete your certification statement.

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