The county elections official’s certificate to nomination papers of a candidate shall be in substantially the following form:
COUNTY ELECTION OFFICIAL’S CERTIFICATE TO NOMINATIONPAPERS OF A CANDIDATE
To the Secretary of State:
I, County Elections Official of the County of _____________, hereby certify that I have examined the nomination papers, to which this certificate is attached, of the candidate for the ensuing presidential primary, and that the number of names which I have not marked “not sufficient” is ______________.
The candidate named in the nomination papers is ______________.
Dated this ____________ day of ____________, 20____.
________________________ , County Elections Official
By____________________ , Deputy