43.43  Voter's declaration of eligibility.

Each person voting at a primary election shall sign a declaration of eligibility which shall be in substantially the following form: 

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 have not voted and will not vote in any other precinct in this election.

I am affiliated with the . . . . . . party. If my current voter registration record indicates another party affiliation or no party affiliation, I swear or affirm that I have in good faith changed my previously declared party affiliation, or declared my party affiliation, and now desire to be a member of the party indicated above. 


            . . . . . . . . .                                                                                                                      
            Signature of voter                                                                                                       
            . . . . . . . . .                                                                                                                      
            Address                                                                                                                  
            (. . ). . . . . . . . .                                                                                                              
            Telephone                                                                                                                
Approved: 

. . . . . . . .               . . . . . . . . . Election board member          Date 

Section History: Recent form

  91 Acts, ch 129, §5; 94 Acts, ch 1169, §64


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