Transcription of I no longer wish to be registered to vote in Pennsylvania.
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I no longer wish to be registered to vote in Pennsylvania.
VOTER REQUEST TO CANCEL REGISTRATION. INSTRUCTIONS. This form can only be completed by the voter. You may voluntarily cancel your voter registration by completing this form. Please mail or deliver to your county voter registration office. To find a list of these offices, please see page 2. STEP 1: STEP 2: STEP 3: Fill out the form Sign and date the form Mail or deliver to your county voter registration office I no longer wish to be registered to vote in Pennsylvania. Last name Jr Sr ll lll lV (Circle if applicable). Printed Name First name Middle name or initial Identification PA driver's license or PennDOT ID card number This information will only be used to or locate your record Last four digits of your Social Security number X X X - X X - on file and process your request. Your ID information will Date of birth / / MM/DD/YYYY. be confidential. Street Address (Not Box) Apt. Number Address Please write the address City/Town State PA Zip Code where you are registered to vote in Pennsylvania.
Williamsport PA 17701-9536 (570) 327-2267 McKean 500 W Main St Smethport PA 16749 (814) 887-3203 Mercer. 130 North Pitt Street, Ste B Mercer PA 16137-1227 (724) 662-7542. Mifflin 20 N Wayne St Lewistown PA 17044 (717) 248-6571. Monroe One Quaker Plaza Rm 105 Stroudsburg PA 18360 (570) 517-3165 Montgomery. Voter Services Venango PO Box 311 ...
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