VOTER'S DECLARATION OF ELIGIBILITY
I do solemnly swear or affirm that I am a resident of the ................ precinct, ................ ward or township, city of ................................, county of ................................, Iowa.
I am a registered voter. I was born on the ................ day of
................ (month) ................ (year). I have not voted and will not vote in any other precinct in said election.
I understand that any false statement in this declaration is a criminal offense punishable as provided by law.
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Signature of Voter
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Address
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Telephone (optional)
Approved:
....................................................
Board Member
Iowa Code § 49.77
83 Acts, ch 176, §5; 87 Acts, ch 221, §16, 17; 88 Acts, ch 1119, §19; 94 Acts, ch 1169, §50; 94 Acts, ch 1180, §14; 98 Acts, ch 1123, §6; 2006 Acts, ch 1002, § 3, 4; 2007 Acts, ch 35, § 6, 7; 2008 Acts, ch 1032, § 152; 2008 Acts, ch 1115, § 98; 2009 Acts, ch 57, §33; 2010 Acts, ch 1026, §9; 2010 Acts, ch 1033, §21, 22; 2013 Acts, ch 140, § 14; 2017 Acts, ch 110, § 23 - 26, 35, 36; 2021 Acts, ch 12, § 37, 73
83 Acts, ch 176, §5; 87 Acts, ch 221, §16, 17; 88 Acts, ch 1119, §19; 94 Acts, ch 1169, §50; 94 Acts, ch 1180, §14; 98 Acts, ch 1123, § 6; 2006 Acts, ch 1002, §3, 4; 2007 Acts, ch 35, §6, 7; 2008 Acts, ch 1032, §152; 2008 Acts, ch 1115, §98; 2009 Acts, ch 57, §33; 2010 Acts, ch 1026, §9; 2010 Acts, ch 1033, §21, 22
Referred to in §48A.37, 49.78, 49.81, 50.6