(b) A disclaimer of proper authority shall be signed and verified under penalty of perjury by the person claiming their personal identifying information was unlawfully used in the business entity filing as described in subdivision (a) and shall contain all of the following information:

1. (1) The name of the corporation, limited liability company, or limited partnership as it appears on the records of the Secretary of State.
2. (2) The Secretary of State file number for the corporation, limited liability company, or limited partnership.
3. (3) The entity type.
4. (4) The date the business entity document containing their personal identifying information was filed.
5. (5) The title of the business entity document that contained their personal identifying information.
6. (6) A description of the type of personal identifying information that the person claims was used unlawfully in the business entity filing.
7. (7) A statement that the person signing the disclaimer of proper authority did not authorize the use of their personal identifying information within the business entity document and that they reasonably suspect that their personal identifying information was included in furtherance of an unlawful purpose, as described in subdivision (a) of Section 530.5 of the Penal Code.
8. (8) A statement that the disclaimer of proper authority does not constitute a determination of any court or law enforcement investigation surrounding the facts and circumstances of the use of the information within the business entity document.