The question shall be printed upon the ballots to be used at the election in substantially the following form:

“To vote upon the public question printed below, if in favor thereof mark a cross (X) or plus (+) in the square at the left of the word YES, and if opposed thereto mark a cross (X) or plus (+) in the square at the left of the word NO.

“Shall the county seat of …………..

[ ] YES county be changed from …………. to

……………. (specify names of

[ ] NO municipalities)?”