I, ......................., having inquired with ......, Secretary of State of the State of ..................., as to whether Purported Official:
JOHN SMITH, ...... {office}
has filed an oath of office with said Secretary of State of the State of ................ and have to date failed to receive an affirmative response from said Secretary of State. Being that said Secretary of State has evidenced unwillingness to perform his/her duties I do hereby represent the following facts on behalf of the Secretary of State of the State of .....:
* said Purported Official has failed to file an oath of office with the office of the Secretary of State of the State of ................
I do hereby represent the following facts:
The office that said Purported Official alleges to hold is vacant.