State of Montana)
)ss.
County of__________)
I, __________ (name), a qualified and acting notary public in and for the above-named county and state, certify that I am personally acquainted with all of the following-named electors whose signatures are affixed to the attached (petition) (copy of a petition) and I know that they are registered electors of the state of Montana and of the county or legislative district written after their names in the petition and that their post-office addresses are correctly stated in the petition.
______________________ (Names of electors)
In testimony whereof, I have set my hand and official seal this____ day of_________, 20__.
_________________________________ (Signature)
Seal_____________________________ (Notarial information)
§ 13-27-307, MCA