CERTIFICATE OF MAIL-IN VOTER
I, ........................., whose home address is .............................................................,
(print your name clearly) (street address or R.D. number) (municipality)
DO HEREBY CERTIFY, subject to the penalties for fraudulent voting, that I am the person who applied for the enclosed ballot. I MARKED AND SEALED THIS BALLOT AND CERTIFICATE IN SECRET. However, a family member may assist me in doing so.
.......................................................
(signature of voter)
Any person providing assistance shall complete the following:
I do hereby certify that I am the person who provided assistance to this voter and declare that I will maintain the secrecy of this ballot.
.......................................................
(signature of person providing assistance)
.......................................................
(printed name of person providing assistance)
.......................................................
.......................................................
(address of person providing assistance)
CERTIFICATE OF MAIL-IN VOTER
I, ........................., whose home address is.............................................................
(print your name clearly) (street address or R.D. number) (municipality)
, DO HEREBY CERTIFY, subject to the penalties for fraudulent voting, that I am the person who applied for the enclosed ballot for the primary election of the ........ political party. I MARKED AND SEALED THIS BALLOT AND CERTIFICATE IN SECRET. However, a family member may assist me in doing so.
.....................................................
(signature of voter)
Any person providing assistance shall complete the following:
I do hereby certify that I am the person who provided assistance to this voter and declare that I will maintain the secrecy of this ballot.
.....................................................
(signature of person providing assistance)
.....................................................
(printed name of person providing assistance)
.....................................................
..............................
(address of person providing assistance)
N.J.S. § 19:63-13