I, .................... (name of registrant), do solemnly swear or affirm all of the following:
I am a resident of the ............ precinct, ............ ward or township, city of ...................., county of ...................., Iowa.
I am the person named above.
I live at the address listed below.
I do not claim the right to vote anywhere else.
I have not voted and will not vote in any other precinct in this election.
I understand that any false statement in this oath is a class "D" felony punishable by no more than five years in confinement and a fine of at least seven hundred fifty dollars but not more than seven thousand five hundred dollars.
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Signature of Registrant
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Address
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Telephone (optional to provide)
Subscribed and sworn before me on ........ (date).
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Signature of Precinct Election Official
I, .................... (name of registered voter), do solemnly swear or affirm all of the following:
I am a preregistered voter in this precinct or I registered to vote in this precinct today, and a registered voter did not sign an oath on my behalf. I have not signed an oath attesting to the identity and residence of any other person in this election.
I am a resident of the ............ precinct, ............ ward or township, city of ...................., county of ...................., Iowa.
I reside at ............................ (street address) in .................... (city or township).
I personally know .................... (name of registrant), and I personally know that .................... (name of registrant) is a resident of the ............ precinct, .................... ward or township, city of ...................., county of ...................., Iowa.
I understand that any false statement in this oath is a class "D" felony punishable by no more than five years in confinement and a fine of at least seven hundred fifty dollars but not more than seven thousand five hundred dollars.
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Signature of Registered Voter
Subscribed and sworn before me on ........ (date).
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Signature of Precinct Election Official
Iowa Code § 48A.7A
2007 Acts, ch 35, §2, 7; 2007 Acts, ch 215, § 242; 2008 Acts, ch 1115, § 73 - 75; 2017 Acts, ch 29, § 29; 2017 Acts, ch 110, § 13 - 16, 35, 36; 2018 Acts, ch 1149, §6, 12; 2018 Acts, ch 1172, § 92
Referred to in §39A.2, 48A.9, 48A.14, 48A.25A, 48A.26, 48A.26A, 49.11, 49.77, 49.78, 49.79, 53.2