By submitting this form, you will be required to swear or affirm to the Circuit Court that the matters and facts set forth above are true and correct to the best of your knowledge.

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or Submit an online Form

MAILING OPTION:
Please mail the completed form to
Judge M. James Chaney
P.O. Box 351
Vicksburg, MS 39181

FAX OPTION:
Please fax the completed form to 601.630.8033