Sec. 11. An unsworn declaration under this chapter must be in substantially the following form:

     I declare and affirm under penalty of perjury under the laws of Indiana that the foregoing is true and correct, and that I am physically located outside the geographic boundaries of the United States, Puerto Rico, the United States Virgin Islands, and any territory or insular possession subject to the jurisdiction of the United States.

Terms Used In Indiana Code 34-59-1-11

  • boundaries of the United States: means the geographic boundaries of:

    Indiana Code 34-59-1-2

  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • United States: includes the District of Columbia and the commonwealths, possessions, states in free association with the United States, and the territories. See Indiana Code 1-1-4-5
  • unsworn declaration: means a declaration in a signed record that is not given under oath but is given under penalty of perjury. See Indiana Code 34-59-1-8
Executed on the __________ day of __________, _________, at

                               (date)                     (month)            (year)

___________________________, __________.

(city or other location, and state)        (country)

________________________

(printed name)

________________________

(signature)

As added by P.L.57-2010, SEC.2.