49 CFR § 1112.9 - Sample verification for statement of fact under modified procedure.

---
identifier: "/us/cfr/t49/s1112.9"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "49 CFR § 1112.9 - Sample verification for statement of fact under modified procedure."
title_number: 49
title_name: "Transportation"
section_number: "1112.9"
section_name: "Sample verification for statement of fact under modified procedure."
chapter_name: "SURFACE TRANSPORTATION BOARD"
subchapter_number: "B"
subchapter_name: "RULES OF PRACTICE"
part_number: "1112"
part_name: "MODIFIED PROCEDURES"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "5 U.S.C. 559; 49 U.S.C. 1321."
regulatory_source: "47 FR 49558, Nov. 1, 1982, unless otherwise noted."
cfr_part: "1112"
---


# 1112.9 Sample verification for statement of fact under modified procedure.

State of __________,

County of __________,

SS:

__________ being duly sworn, deposes and says that he has read the foregoing statement, knows the facts asserted there are true and that the same are true as stated.

Signed __________.

Subscribed and sworn to before me this _____ day of __________.

Notary Public of __________.

My Commission expires __________.