Sample Verification Form – Disclosure Statement


As a party in this matter, I make the following Verification regarding the foregoing [Initial/First Supplemental/Second Supplemental] Disclosure Statement which has been prepared by my counsel.

I have read the foregoing Disclosure Statement, and under penalty of perjury, believe that the facts and matters stated therein are true, to the extent I have personal knowledge.

I wholly relied on my counsel to prepare the Disclosure Statement and to determine the identities of witnesses and exhibits and to perform the legal analysis.

EXECUTED on this ____ day of _______________ 20__.