§ 3504.02Certificate of intent to vote

(A) Any citizen who desires to vote in a presidential election under this chapter shall, not later than
four p.m. of the thirtieth day prior to the date of the presidential election, complete a certificate of
intent to vote for presidential and vice-presidential electors. The certificate of intent shall be
completed in duplicate on a form prescribed by the secretary of state that may be obtained and filed
personally in the office of the board of elections of the county in which such person last resided
before removal from this state, or mailed to such board of elections.


(B) Immediately following the spaces on the certificate for inserting information as requested by the
secretary of state, the following statement shall be printed: "I declare under penalty of election
falsification that the statements herein contained are true to the best of my knowledge and belief; that
I am legally qualified to vote; that I am not registered to vote in any other state; and that I have not
voted in an election in any other state since removing myself from the state of Ohio.


__________________________________


Signature of applicant


__________________________________


Date


WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE
FIFTH DEGREE."


(C) If the applicant has a confidential voter registration record, as described in section 111.44 of the
Revised Code, the applicant may include the applicant's program participant identification number
instead of the applicant's residence address or precinct in the certificate of intent.




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