Indiana Code
Chapter 11. Special Procedures for Certain Indiana Voters to Vote in Precinct of Former Residence
3-10-11-5. Affidavit; Required Information

Sec. 5. 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.
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.

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