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Office of the Revisor of Statutes

    Subdivision 1. Declaration. Every application for public assistance under this chapter or
chapters 256B, 256D, 256J, and 256L; child care programs under chapter 119B; and food stamps
or food support under chapter 393 shall be in writing or reduced to writing as prescribed by the
state agency and shall contain the following declaration which shall be signed by the applicant:
"I declare under the penalties of perjury that this application has been examined by me
and to the best of my knowledge is a true and correct statement of every material point. I
understand that a person convicted of perjury may be sentenced to imprisonment of not
more than five years or to payment of a fine of not more than $10,000, or both."
    Subd. 2. Penalty. Any person who willfully and falsely makes the declaration in subdivision
1 is guilty of perjury and shall be subject to the penalties prescribed in section 609.48.
History: 1991 c 292 art 5 s 28; 1997 c 85 art 5 s 13; 1Sp2001 c 9 art 10 s 66; 1Sp2003 c
14 art 1 s 2; 2007 c 147 art 2 s 20