1. (a) In general.— A person commits a misdemeanor of the second degree if, with intent to mislead a public servant in performing his official function, he:

   1. (1) makes any written false statement which he does not believe to be true;
   2. (2) submits or invites reliance on any writing which he knows to be forged, altered or otherwise lacking in authenticity; or
   3. (3) submits or invites reliance on any sample, specimen, map, boundary mark, or other object which he knows to be false.
2. (b) Statements "under penalty".— A person commits a misdemeanor of the third degree if he makes a written false statement which he does not believe to be true, on or pursuant to a form bearing notice, authorized by law, to the effect that false statements made therein are punishable.
3. (c) Perjury provisions applicable.— Section 4902(c) through (f) of this title (relating to perjury) applies to this section.
4. (d) Penalty.— In addition to any other penalty that may be imposed, a person convicted under this section shall be sentenced to pay a fine of at least $1,000.

(Nov. 29, 2006, P.L.1481, No.168, eff. 60 days)

2006 Amendment. Act 168 added subsec. (d).

Cross References. Section 4904 is referred to in section 6116, 9158.2 of this title; section 2344 of Title 3 (Agriculture); sections 1518, 3905 of Title 4 (Amusements); section 3505 of Title 5 (Athletics and Sports); sections 102, 134, 142, 8998 of Title 15 (Corporations and Unincorporated Associations); sections 761, 911, 3101, 3175, 3908 of Title 20 (Decedents, Estates and Fiduciaries); sections 4308.1, 5103, 5337, 6344.2, 6711 of Title 23 (Domestic Relations); section 1714 of Title 25 (Elections); section 4110 of Title 27 (Environmental Resources); section 7923 of Title 35 (Health and Safety); sections 102, 1904, 5552, 5903 of Title 42 (Judiciary and Judicial Procedure); sections 13A05, 13A08 of Title 65 (Public Officers); section 2301 of Title 71 (State Government); sections 1510, 1901, 1920.2 of Title 75 (Vehicles).