Colorado Code § 13-27-106

Form of unsworn declaration
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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)

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