1. (a) Pleadings or other documents containing an averment of fact not appearing of record in the action or containing a denial of fact shall be personally verified by a party thereto or by an authorized officer of the party if a corporation or other business entity. Verification means a signed written statement of fact supported by oath or affirmation or made subject to the penalties of 18 Pa.C.S. § 4904 (relating to unsworn falsification to authorities). If verification is required, notarization is not necessary.

2. (b) The verification form must comply substantially with the following format:

   I,

   , hereby state that the facts above set forth are true and correct (or are true and correct to the best of my knowledge, information and belief). I understand that the statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 (relating to unsworn falsification to authorities).

   Date

   Signature

   Printed Name

3. (c) When an affidavit is used, the form should comply substantially with the following format:

   I,

   (Affiant), being duly sworn (affirmed) according to law, depose and say that (I am authorized to make this affidavit on behalf of corporation/business entity, being the holder of the office of with that corporation/business entity, and that the facts above set forth are true and correct (or are true and correct to the best of my knowledge, information and belief).

   day of , 20 .

VERIFICATION

AFFIDAVIT