Introducing Referent – AI-native practice management software for modern law firms.
Explore ReferentI, [Full Legal Name], of [Address], being duly sworn, do hereby declare and state under oath the following:
Full Name: [Full Legal Name]
DOB: [MM/DD/YYYY]
Address: [Full Address]
ID (if applicable): [ID/Passport]
This statement documents facts relevant to [describe proceeding/claim/filing].
The facts are set out in numbered paragraphs for easy reference. Each item reflects personal knowledge unless noted as based on records.
I reference [contracts, invoices, logs] as business records maintained in the ordinary course. True and correct copies are attached or available on request.
Where uncertainty exists, I indicate the basis of my understanding and avoid speculation.
I declare under penalty of perjury that the foregoing is true and correct.
Signed this [Day] of [Month, Year], at [City, State/Country].
Declarant Signature: _______________________________
Printed Name: ___________________________________
Notary / Authorized Officer Acknowledgment
On this [Day] of [Month, Year], before me, [Name of Notary/Officer], personally appeared [Declarant’s Full Name], known to me (or satisfactorily proven) to be the individual who executed the foregoing Sworn Statement, and acknowledged it to be true and correct.
Notary / Officer Signature: __________________________
Printed Name: ____________________________________
Commission No.: _________________________________
My Commission Expires: ___________________________
Each template already follows legal structure and best practices.
The agreement is automatically filled and adapted to your inputs.
Check the generated document, make edits if needed, and download a ready-to-use agreement.
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For quick answers, scroll below to see the FAQ.
Frequently asked
A Sworn Statement is a written document in which a person formally declares that the information they are providing is true. It is commonly used in legal or official matters where factual accuracy is important — such as insurance claims, disputes, investigations, or court-related filings. The individual signs the statement and confirms that it is made under penalty of perjury, meaning they can face legal consequences if any part of it is knowingly false.
A Sworn Statement is used when written, truthful testimony is needed without the person having to appear in court. It is commonly requested in situations such as insurance claims, workplace incidents, background checks, financial disclosures, property disputes, and law enforcement investigations. The statement serves as legally reliable evidence because the signer confirms the information under penalty of perjury, making it a suitable option when timely and documented facts are required.
A Sworn Statement must clearly present truthful information and identify who is making the declaration. To ensure it is valid and useful, it should include:
- The declarant’s full legal name and contact information:this confirms the identity of the person making the statement and provides a way to reach them if clarification is needed. - A clear and detailed statement of facts: the content should explain what happened, when, where, and who was involved. Facts must be specific, accurate, and based on personal knowledge rather than opinions. - Relevant dates, locations, and supporting context: including precise details strengthens credibility and helps avoid misunderstandings or disputes later. - A penalty-of-perjury declaration: this clause acknowledges that the declarant understands they can face legal consequences if the statement is false or misleading. - The declarant’s signature and the date of signing: signing confirms the statement is complete and truthful at the time of execution.
The declarant’s full legal name and contact information:this confirms the identity of the person making the statement and provides a way to reach them if clarification is needed.
A clear and detailed statement of facts: the content should explain what happened, when, where, and who was involved. Facts must be specific, accurate, and based on personal knowledge rather than opinions.
Relevant dates, locations, and supporting context: including precise details strengthens credibility and helps avoid misunderstandings or disputes later.
A penalty-of-perjury declaration: this clause acknowledges that the declarant understands they can face legal consequences if the statement is false or misleading.
The declarant’s signature and the date of signing: signing confirms the statement is complete and truthful at the time of execution.
In Illinois, a Sworn Statement becomes legally effective when the person signs it and includes a declaration confirming its truthfulness under penalty of perjury. Notarization is generally not required unless a court or agency specifically requests it. Once properly completed, it can be used as supporting evidence in legal or administrative proceedings.
Lying in a Sworn Statement is considered perjury, which is a criminal offense. Because the signer declares the information to be true under penalty of perjury, providing false information can lead to fines, criminal charges, and potential jail time. The severity of the penalty depends on the jurisdiction, but perjury is commonly treated as a misdemeanor or felony, especially if the false statement was used in a legal or court-related matter. In addition to criminal consequences, the person may also face civil liability if their false statement causes harm or financial loss to another party.
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