Fillable Request to be Removed from Voter Rolls (Supervisor of Elections Marion County)

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Request to be Removed from Voter Rolls (Supervisor of Elections Marion County)

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U.S.A. forms for Supervisor of Elections Marion County

BROWSE SUPERVISOR OF ELECTIONS MARION COUNTY (FL) FORMS
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Election Center
981 NE 16
th
ST • Ocala, FL 34470
M
PO Box 289 • Ocala, FL 34478-0289
P
352-620-3290
Supervisor of Elections, Marion County, FL
F
352-620-3286
W
www.VoteMarion.com
7/19/2017 W:\Documents\Voter Services\Request Remove Voter.docx
Request to be Removed from Voter Rolls
I
request to be removed from the
Marion County voter registration rolls effective immediately, per Florida Statutes 98.045.
My date of birth is
My Marion County residential address is/was
My voter registration number is
(if known)
I hereby authorize the cancellation of my registration by the Marion County Supervisor of Elections
Office. This letter shall serve as signed proof of my request.
Voter Signature and Date
Please mail completed form to:
Wesley Wilcox, Supervisor of Elections
Marion County Election Center
PO Box 289
Ocala, FL 34478-0289
ELECTION CENTER USE ONLY
Registration #
Deputy Supervisor
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Request to be Removed from Voter Rolls (Supervisor of Elections Marion County)

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Completed 18 July 2020

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