North Dakota Century Code Title 16.1. Elections § 16.1-13-37. Application for presidential elector ballot by new residents

State of North Dakota

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County of __________

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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 the (town) (township) (city) of __________, county of __________ in the state of __________.

3.

On the day of the next presidential election, I shall be at least eighteen years of age. I have been a resident of this state since __________, __________, now residing at __________ street, in the (town) (township) (city) of __________, county of __________ in the state of North Dakota.

4.

I have resided in __________ precinct for less than thirty days. I believe I am entitled under the laws of this state to vote at the presidential election to be held on November __________, __________.

5.

I apply for a presidential election ballot. I have not voted and will not vote otherwise than by this ballot at that election.

Signed____________________________________________________________

(Applicant)

__________________________________________________________________

(Applicant's telephone number)

Subscribed and sworn to before me this__________day of______________________________, __________.

Signed____________________________________________________________