STATE OF ______________ COUNTY OF ______________, ss. I, ______________, do solemnly swear that: | |
1. | I am a citizen of the United States; |
2. | Before becoming a resident of this state, I resided at ______________ street, in ______________ (Here insert name of town, township, village or city) of ______________ county of the state of ______________; |
3. | On the day of the next presidential election, I shall be at least eighteen years of age and I have or will have by the time of such next presidential election resided in this state not more than 45 days next preceding such general presidential election and I am now residing in the __________ precinct, township of ______________ (or in the __________ precinct of the __________ ward, ______________ street in the city of ______________), in the county of ______________, state of Kansas; |
4. | I believe I am entitled under the law of this state to vote at the presidential election to be held November ______, ______; |
5. | I hereby make application for a presidential and vice-presidential ballot. I have not voted and will not vote otherwise than by this ballot at that election. |
Signed __________________________________________ (Applicant) | |
Subscribed and sworn to before me this ______________ day of ______________, ______. | |
Signed_________________________________________________ Title and name of officer authorized to administer oath |
STATE OF ______________ COUNTY OF ______________, ss. I, ______________, do solemnly swear that: | |
1. | I am a citizen of the United States; |
2. | Before removing my residence from the state of Kansas on __________, ______, which was within 45 days next preceding the presidential election to be held November ______, ______, I was a registered voter in the ______ precinct, township of ______________ (or in the ______ precinct of the ______ ward, at ______________ street, in the city of _____________) in the county of ______________, state of Kansas, which was my last place of residence prior to my removal from Kansas; |
3. | I now reside at ______________ street, in ____________________ (Here insert name of town, township, village or city) |
4. | On the day of the next presidential election, I shall be at least eighteen years of age; |
5. | I believe I am entitled under the law of this state to vote at the presidential election to be held November _____, ______, in the precinct and county of my former residence as above stated. |
6. | I hereby make application for a presidential and vice-presidential ballot. I have not voted and will not vote otherwise than by this ballot at that election. |
Signed __________________________________________ (Applicant) | |
Subscribed and sworn to before me this ______________ day of ______________, ______. | |
Signed_________________________________________________ Title and name of officer authorized to administer oath |
STATE OF ______________ COUNTY OF ______________, ss. I, ______________, do solemnly swear that: | |
1. | I am a citizen of the United States; |
2. | Before relocating my residence on __________, _____, which was not more than 20 days next preceding the presidential election to be held November ______, _____, I was a registered voter in the ______ precinct, township of _____________ (or in the _______ precinct of the _______ ward, at ______________ street, in the city of _____________) in the county of ______________, state of Kansas, which was my last place of residence prior to my relocation in Kansas; |
3. | I now reside at __________ street, in _____________________ (Here insert name of town, township, village or city) of ______________________ county of the state of Kansas; |
4. | On the day of the next presidential election, I shall be at least eighteen years of age; |
5. | I believe I am entitled under the law of this state to vote at the presidential election to be held November _____, ______, in the precinct and county of my new residence as above stated. |
6. | I hereby make application for a presidential and vice-presidential ballot. I have not voted and will not vote otherwise than by this ballot at that election. |
Signed __________________________________________ (Applicant) | |
Subscribed and sworn to before me this ______________ day of ______________, ______. | |
Signed_________________________________________________ Title and name of officer authorized to administer oath |
K.S.A. 25-1802