37-101-189 - Form of affidavit.
§ 37-101-189. Form of affidavit.
Such affidavit as is provided for in Section 37-101-187 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.