Here is your pdf: Voter request to cancel registration

The length of the document below is: 2 page(s) long

The self-declared author(s) is/are:
www.votespa.com

The subject is as follows:
Subject: Original authors did not specify.

The original URL is: LINK

The access date was:
Access date: 2019-02-26 12:21:03.829764

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The content is as follows:

PAGE 1

VOTER REQUEST TO CANCEL REGISTRATION

This form can

only

be completed by the voter. You may voluntarily

cancel

your

voter registration

STEP 1:

Fill out the form

STEP 2:

Sign and date the form

STEP 3:

Mail or deliver to your county

INSTRUCTIONSFalse statements on this form are punishable pursuant to 18 Pa.C.S. § 4904 (relating to unsworn

SignatureDatePrinted NameFirst nameMiddle name or initialLast nameJr Sr ll lll lV AddressPlease write

the address

where you are

registered to vote

in Pennsylvania.

Street Address

Apt. NumberMunicipalityCountyCity/Town

StateZip CodePAI no longer wish to be registered to vote in Pennsylvania.

NOTICE !This information

will only be used to

locate your record

your request. Your

ID information will

Last four digits of your Social Security numberX X X – X X -PA driver™s license or PennDOT ID card number

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