Georgia Code
Part 1 - General Provisions
§ 21-2-402. Preparation of Voter’s Certificates by Secretary of State; Form of Certificates; Binders for Certificates; Other Voter’s Certificates

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VOTER’S CERTIFICATE I hereby certify that I am qualified to vote at the (primary or election) held on , that I have not and will not vote elsewhere in this (primary or election) in my own name or in any other name, and that I am a citizen of the United States and am not currently serving a sentence for a felony conviction. I understand that making a false statement on this certificate is a felony under Code Section 21-2-562 Signature Current residence address of elector: Elector’s date of birth: Name or initials of poll officer receiving voter’s certificate: In case of physical disability or illiteracy, fill out the following: Reason for assistance (Check appropriate square): ( ) Elector is unable to read the English language. ( ) Elector requires assistance due to physical disability. Signature of poll officer Number of stub of ballot or number of admission to voting machine: _
History. Code 1933, § 34-1302, enacted by Ga. L. 1964, Ex. Sess., p. 26, § 1; Ga. L. 1970, p. 347, §§ 20, 21; Ga. L. 1977, p. 313, § 1; Ga. L. 1978, p. 1004, § 23; Ga. L. 1982, p. 3, § 21; Ga. L. 1982, p. 1512, § 5; Ga. L. 1987, p. 1360, § 16; Ga. L. 1993, p. 118, § 1; Ga. L. 1994, p. 1406, § 24; Ga. L. 1996, p. 145, § 17; Ga. L. 1998, p. 295, § 1; Ga. L. 2001, p. 240, § 35; Ga. L. 2006, p. 888, § 5/HB 1435.

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