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Click ‘Get Form’ to open the PERJURY STATEMENT in the editor.
In the first field, print your name clearly as it appears on your identification.
Next, enter the total cost incurred for the product or service in the designated space.
Provide a detailed description of the product or service in the following lines, ensuring clarity and completeness.
Explain why you do not have the receipt(s) by filling in the provided space with a concise statement.
Sign in the designated area to certify your statements are true under penalty of perjury.
If required, include an authorizing signature and provide your EID# or SS# along with the date.

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What evidence is needed to prove perjury?

Perjury only applies when someone lies under oath, such as in a court proceeding, grand jury, or other official proceeding. The false statement must happen in a formal legal setting and involve a material matter. False statements, on the other hand, do not require an oath.

What is an example of a perjury statement?

The elements of perjury are (1) that the declarant took an oath to testify truthfully, (2) that he willfully made a false statement contrary to that oath (3) that the declarant believed the statement to be untrue, and (4) that the statement related to a material fact. It is easy to prove that a declarant took an oath.

What is a statement of perjury?

In both federal and state courts, perjury is a felony, which means that it is punishable by at least one year in prison. In federal cases, that penalty can extend to five years and a hefty fine. The increase in sentencing may depend on how much the falsehood affected the outcome of the proceeding.

Whats the difference between false statements and perjury?

Examples of perjury could be: The purposeful telling of a lie while under oath to tell the truth in a matter a person is called to testify for. The purposeful telling of a lie on a written document that is submitted to the court as a testimony of evidence. Any matter of breaking any oath or formal promise while testifying.