An unsworn declaration under this chapter must be substantially in the following form:
I declare, under penalty of perjury under the law of North Dakota, that the foregoing is true and correct.
Signed on the _____ day of _______, _______ at ____________________, ___________
(month) (year) (city or other location, and state) (country)
____________________
(printed name)
____________________
(signature)
N.D.C.C. § 31-15-05