Iowa Code § 43.43

Voter’s declaration of eligibility
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Each person voting at a primary election shall sign a declaration of eligibility which shall be in substantially the following form: I do solemnly swear or affirm that I am a resident of the ............................................precinct,....................................wardor township, city of ........................,countyof........................,Iowa. I am a registered voter. I have not voted and will not vote in any other precinct in this election. I am affiliated with the ........................party.Ifmycurrent voter registration record indicates another party affiliation or no party affiliation, I swear or affirm that I have in good faith changed my previously declared party affiliation, or declared my party affiliation, and now desire to be a member of the party indicated above. ..................................... Signature of voter ..................................... Address (........).......................... Telephone (optional) Approved: .................................... Election board member ...................... Date

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