Civil Cover Sheet Page 9
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22VERIFICATION
Plaintiff(s)_________________________________________________________
________________________________________________________________________
hereby verify that the statements set forth in the foregoing Complaint are true and correct
to the best of my knowledge, information, and belief; I understand that these statements
are made subject to the penalties of 18 Pa.C.S. §4904, relating to unsworn falsification to
authorities.
_________________________________
Signature of Plaintiff
__________________________________
Signature of Plaintiff
Dated: _____________________
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