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Village of Farmingdale !bsentee Ballot !pplication
Please print clearly;
This application must either be personally delivered to the Village Clerk not later than the
day before the election, or postmarked by a governmental postal service not later than
7th day before election day; be received by the Village Clerk
.
I am requesng, in good faith, an absentee ballot due to (check one reason):
NY
!pplicant Must Sign Below
Sign Here: X__________________________ Date ____/____/____
Board Use Only
2015 Absentee Ballot Application
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