California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 4.5 - General Provisions
Article 9 - Forms
Section 2623.8 - Verification (for Individuals or Partnerships)

Universal Citation: 10 CA Code of Regs 2623.8
Current through Register 2024 Notice Reg. No. 38, September 20, 2024

I am (one of) the ____________________s in this matter; the statements in the foregoing document are true of my knowledge, except as to matters which are therein stated on information and belief, and as to those matters, I believe them to be true.

I declare under penalty of perjury under California law that the foregoing is true and correct.

Executed on ____________________ (date) ____________________ at ____________________ (name of city), California.

DATED:

Respectfully Submitted,

____________________

Signature

1. New section filed 2-1-93; operative 2-1-93 (Register 93, No. 6).

Note: Authority cited: Sections 1861.10, 12921 and 12926, Insurance Code. Reference: Sections 1861.05(b) and (c), 1861.08 and 1861.10(a) and (b), Insurance Code; and CalFarm Insurance Company, et al. v. George Deukmejian, et al., 48 Cal.3d 805 (1989).

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