State Codes and Statutes
Statutes > Mississippi > Title-37 > 29 > 37-29-213§ 37-29-213. Form of affidavit.
Such affidavit as is provided for in Section 37-29-211 may be in substantially the following form:
STATE OF ______________
COUNTY OF ______________
I, ________ (name of affiant), being an applicant for the position of at (name of institution), being first duly sworn, do hereby depose and say that I am now or have been within the past 5 years a member of the following organizations and no others:
________________________
________________________
(names and addresses of organizations)
and further, that I am now paying, or within the past five years have paid, regular dues or made regular contributions to the following organizations and no others:
________________________
________________________
(names and addresses of organizations)
__________________________________________________________
(signature of Affiant)
__________________________________________________________
Affiant
Sworn to and subscribed before me, this the ________ (date) day of (month), 2________ (year).
__________________________________________________________
(signature of Official)
__________________________________________________________
Title of Official
Sources: Codes, 1942, § 6282-42; Laws, 1956, ch. 265, § 2.
