27 C.F.R. § 25.167
(b) Information to be furnished. Each notice described in paragraph (a) of this section will contain the following information:
(c) Perjury statement. Each notice described in this section will be executed by the brewer under penalties of perjury as defined in § 25.11.
(Act of Aug. 16, 1954, 68A Stat. 749, as amended (26 U.S.C. 6065); sec. 201, Pub. L. 85-859, 72 Stat. 1390, as amended, 1395, as amended (26 U.S.C. 5415, 5555))