VOTER'S AFFIDAVIT
State of
County of
I, , do solemnly swear that I am a resident of Precinct , Ward or District of County, State of Tennessee, and am a registered voter in the election to be held on the day of , 20 .
I further swear that this envelope contains the absentee ballot marked by me in secret indicating my choice at that election, and that I am not registered in any other state or county for this election and I am otherwise entitled to vote absentee in this election.
Signature of Affiant
Witnesses if assisted
(Person who assisted)
Name Address
Name Address
CERTIFICATE OF ATTESTING OFFICIAL
Sworn to and subscribed before me this day of , 20 . I hereby certify that the affiant whose name appears above exhibited the enclosed absentee ballot to me unmarked, marked the ballot in secret (with assistance) and enclosed and sealed it in this envelope without anyone (other than the assistant) seeing how the affiant voted, and the affiant was not solicited or advised by me to vote for or against any candidate or issue in the election.