Colorado Code § 31-10-1003

Self-affirmation on return envelope
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(1) The return envelope shall have
printed on its face a self-affirmation substantially in the following form:
"State of .... Municipality of ...., County of ....
I, ...., affirm and say that I am a qualified and registered elector in the municipality of ....
and state of Colorado; that my residence and post-office address is ....; and that I herein enclose
my ballot in accordance with the provisions of the "Colorado Municipal Election Code of 1965".
I realize that if any false statements are contained herein that I shall be subject to prosecution for
criminal action.
............................................................
Signature of voter"
(2) (Deleted by amendment, L. 91, p. 641, § 88, effective May 1, 1991.)

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