Georgia Code
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

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(e) The affidavit printed on the reverse side of each recall petition form shall be in the following form:
AFFIDAVIT OF SIGNATURE WITHDRAWAL 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 , .
History. Code 1981, § 21-4-9 , enacted by Ga. L. 1989, p. 1721, § 1; Ga. L. 1993, p. 118, § 1; Ga. L. 1999, p. 21, § 1.

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