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 __________________, __________________. |
OCGA § 21-4-9