2017 Georgia Code
Title 21 - Elections
Chapter 4 - Recall of Public Officers
§ 21-4-9. Recall application or petition -- Procedure for withdrawal of signature; contents and form of affidavit to be executed and filed by person desiring to withdraw signature

Universal Citation: GA Code § 21-4-9 (2017)
  • (a) At any time prior to the date an application for recall petition or a recall petition is filed for verification, an elector who has signed the application or the recall petition form may request withdrawal of his or her signature from the application or recall petition by executing and filing an affidavit, in the form prescribed by this Code section, with the election superintendent. Any signature so withdrawn shall not be counted in determining the legal sufficiency of the application or recall petition. The affidavit shall:
    • (1) Be signed and sworn to before a notary public;
    • (2) State the elector's residence address, giving number and street or route and city, the name of the county of residence, and, in the case of a recall application or petition, the number of the recall application or petition which he or she signed; and
    • (3) Affirm the elector's intention to withdraw his or her signature from the application or recall petition.
  • (b) The affidavit shall be substantially in the following form:


    State of Georgia

    County of ____

    I, ____ (Name as it appears on the application or recall petition),

    being first duly sworn, say that I am an elector of the ____ (electoral

    district) in which the recall election will be conducted.

    That my residence address is____


    (Number and street or route) (City)

    That I signed or caused to be signed the application or the petition for

    the recall of ____ (Name and office of person sought to be recalled) and

    that the recall application or petition has been assigned number ____.

    That it is my intention by the signing and filing of this affidavit to

    withdraw my signature therefrom.


    Signature of elector

    Subscribed and sworn to

    before me this ____

    day of ____, ____.


    Notary public

    ____, Georgia

    My commission expires on the ____ day of ____, ____.

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