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Voter Declaration

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I swear/affirm that: I am a U.S. Citizen. I will have lived in this state and county for at least 30 days before voting, and if a resident of a municipality, I will have lived in the municipality for at least 30 days before voting.

I have never been convicted of murder, rape, bribery, theft, arson, obtaining money or goods under false pretense, perjury, forgery, embezzlement, or bigamy, or I have had my rights restored as required by law.

I have not been declared mentally incompetent by a court. Furthermore, I certify that I am at least eighteen (18) years old (or I will be before the next general election), the information given by me is true and correct and that I have truly answered all questions on this application for registration, and that I will faithfully support the Constitution of the United States and of the State of Mississippi, and will bear true faith and allegiance to the same.

Penalties

The penalty for conviction of false registration is imprisonment for not more than five (5) years or a fine of not more than five thousand dollars ($5000), or both. Miss. Code Ann § 23-15-17.

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Voter Registration

Would you like to apply to register to vote or update your existing registration?

If you choose to register to vote, the office at which the applicant submits a voter registration application will remain confidential and will be used only for voter registration purposes. If you decline to register to vote, your decision not to register will remain confidential and will be used only for voter registration purposes.

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Refuse.

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