Absentee Ballot Envelope — Requirements — Voter's Affidavit Form

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  1. The absentee ballot envelope shall have a sealing flap and shall be a plain envelope without markings except the words “Absentee Ballot Envelope” or “  Primary Absentee Ballot Envelope” printed on the face and such instructions for the use of the envelope if it has become prematurely sealed as the coordinator of elections prescribes. The coordinator of elections shall determine distinguishable colors to be used in the printing of the ballot envelopes for early voting and absentee voting. Both envelopes shall include a place for the voter's precinct and district number and a statement for the administrator to sign stating that the voter's signature has been verified and appears to be valid. The absentee voting ballot envelope need not contain a certificate for an attesting official.
  2. It shall have also a detachable flap which shall contain the words “Do Not Detach” and an affidavit in substantially the following form:

    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.


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