PL 210.45

§ 210.45 Making a punishable false written statement.
    A  person  is  guilty  of  making  a punishable false written
statement when he knowingly makes a  false  statement,  which  he
does  not  believe  to be true, in a written instrument bearing a
legally  authorized  form  notice  to  the  effect   that   false
statements made therein are punishable.
    Making  a  punishable  false  written  statement is a class A
misdemeanor.

Lesser Included Greater Inclusory Offenses with Argument