Rule 2106. Affirmation of truth of statement. The statement of any
person wherever made, subscribed and affirmed by that person to be true
under the penalties of perjury, may be used in an action in New York in
lieu of and with the same force and effect as an affidavit. Such
affirmation shall be in substantially the following form:

I affirm this ___ day of ______, ____, under the penalties of perjury
under the laws of New York, which may include a fine or imprisonment,
that the foregoing is true, and I understand that this document may be
filed in an action or proceeding in a court of law.

(Signature)