C.R.S. § 13-27-106: Form of unsworn declaration.

An unsworn declaration under this article 27 must be in substantially the following form:

I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.

Executed on the ________ day of ________, ________,

(date) (month) (year)

at ___________________________ __________________

(city or other location, and state or country)

____________________________

(printed name)

____________________________

(signature)