§ 3-10-11-5 — Affidavit; required information

Indiana § 3-10-11-5

• Jurisdiction: Indiana
• Art. 10: PROVISIONS GOVERNING CERTAIN TYPES OF
• Ch. 11: Special Procedures for Certain Indiana Voters to Vote

Text

An affidavit executed under this chapter must
contain the following information:
(1) The person's last, first, and middle name, in that order.
(2) The person's date of birth.
(3) Whether the person is a United States citizen.
(4) The person's current address, including the county. If the
person resides in a municipality, the address must include the
street address, including apartment number or other designation,
or the name and room number of the hotel or lodging house. If the
person does not reside in a municipality, the address must include
the mailing address and the street or road.
(5) The address of the person's previous residence, including the
county.
(6) The person's statement that the person satisfies the conditions
set forth in section 2 of this chapter.
(7) Responses to the questions listed in IC 3-7-22-5(3) and IC 3-7-22-5(4).
(8) The person's voter identification number to permit transfer of
the registration under IC 3-7-13-13.

Legislative History

As added by P.L.12-1995, SEC.69. Amended by P.L.209-2003, SEC.103; P.L.164-2006, SEC.79; P.L.64-2014, SEC.38; P.L.169-2015, SEC.85.