STATE OF MISSISSIPPI
County of ____
I, ____, county registrar in and for the county and state aforesaid, do hereby certify that I have compared the signatures on the preceding sheets of the removal petition attached hereto, and to the best of my knowledge and belief the said petition (or section of petition) contains the signatures of ____ qualified electors of said county (or beat, as case may be), and I have drawn a line in red ink through the names of those signators who appear by the records in my office not to be qualified electors, or who have died. I further certify that as of the date of the petitions there were ____ qualified electors in this county (or beat, as the case may be).
Given under my hand and seal of office, this the ____ day of ____, 20____.
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