Oklahoma Request To Cancel Voter Registration

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REQUEST TO CANCEL VOTER REGISTRATION
I, ______________________________________, no longer desire to be a registered voter of
__________________________________ County, Oklahoma, and hereby swear or affirm that I
wish to have my name removed from the registration rolls.
My residence address is
______________________________________________. My date of birth is ______________.
_____________________________________
______________________________
voter's signature
date
This form either must be witnessed by two persons or notarized as indicated below.
WITNESS ATTESTATION (If not notarized below)
This form was signed in our presence on _______________ by __________________________.
(date)
(voter's printed name)
FIRST WITNESS:
SECOND WITNESS:
_____________________________________
_____________________________________
(printed name)
(printed name)
_____________________________________
_____________________________________
(signature)
(signature)
_____________________________________
_____________________________________
(street address)
(street address)
_____________________________________
_____________________________________
(city, state, ZIP)
(city, state, ZIP)
NOTARIZATION (If not witnessed above)
State of Oklahoma
County of ___________________
Signed and attested before me on __________________ by ___________________________.
(date)
(name)
_________________________________, Notary Public
My commission expires: _________________________
My commission number: _________________________
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