Sign & Date. All the information that I (we) supplied in this Claim Form is true and correct to the best of my (our) knowledge and belief, and this document is signed under penalty of perjury.
Appears in 3 contracts
Sources: Class Settlement Agreement, Settlement Agreement, Settlement Agreement
Sign & Date. All the information that I (we) supplied in this Claim Form is true and correct to the best of my (our) knowledge and belief, and this document is signed under penalty of perjury.. YYYY
Appears in 1 contract
Sources: Settlement Agreement