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256.984 DECLARATION AND PENALTY.
    Subdivision 1. Declaration. Every application for public assistance under this chapter
or chapters 256B, 256D, 256J, 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

Official Publication of the State of Minnesota
Revisor of Statutes