2017 Mississippi Code
Title 25 - Public Officers and Employees; Public Records
Chapter 5 - Removals From Office
§ 25-5-13. Verification of petition
Each and every petition, or separately circulated section thereof, containing signatures shall be verified on the last page thereof in substantially the following form:
STATE OF MISSISSIPPI
County of ____
I, ____, a qualified elector of said county do now state under oath that
every person who signed the foregoing petition signed his or her name thereto
in my presence, and that before the signing of said petition the signator was
told that after signing the same his or her name could not be removed from
said petition; that I believe that each has stated his or her name and
precinct correctly, and that so far as I know each signer is a qualified
elector of this county, and I further certify that the date appearing on the
foregoing petition is the correct date on which the first signature was
affixed to said petition or any section thereof.
(Signature) ____
Sworn to and subscribed before me, this ____ day of ____, 20____.
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