Miss. Code § 99-19-48
The following form, to be furnished by the county, shall be used in transmitting the required data for any individual placed on probation under the supervision of the Division of Community Corrections of the Department of Corrections:
"Circuit Court, County of ____________________.
To the Mississippi Department of Corrections:
You are hereby notified that at the ____________________ term, 2____________________, of the circuit court, Judge ____________________ presiding, the following named person was tried, convicted and sentenced to a term in the State Penitentiary. The sentence was suspended and the person was placed on probation:
Name ____________________ Alias ____________________
Date of sentence ____________________ Crime ____________________
Term of sentence ____________________ Sex ____________________
Race ____________________ Appealed ____________________
Remarks: Give brief summary of crime committed. ____________________
____________________
____________________
____________________
Dated ____________________, 2____________________. ____________________ Clerk."
Miss. Code § 99-19-48