Cancellation of Former Registration
Election System of the Virgin Islands Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021 Crystal Gade, St. Thomas, V.I. (340) 774-3107 P.O. Box 1499 Kingshill St. Croix U.S. Virgin Islands 00851 / P.O. Box 6038 St. Thomas U. S. Virgin Islands 00801 CANCELLATION OF FORMER REGISTRATION Date Registered: ________________ Name _____________________________________ I am now registered as an Elector in _____________________, Virgin Islands and hereby authorize the cancellation of my former registration in____________________________ (City or Town) Former Name: ____________________________ (If different from present legal name) Former Address: _____________________________________ Date Of Birth: _______________________ Place Of Birth: ____________________ __________________________ Signature of Elector OFFICIAL USE ONLY Verified by: ____________________________________ Date:_________________ ______________________________________________________________________ Election Officials ELECTION SYSTEMS OF THE VIRGIN ISLANDS FORM 0014/98 SIGN
Download the original document · Plain text (TXT) · Browse the archive · How this archive works
Original source: https://vivote.gov/sites/default/files/Cancellation%20of%20Former%20Registration.pdf
SHA-256 3f88081f40c8d98c0a7310163586e0613b3e343f445212f1139c259566969ed3
Re-using this document
A public record of the Government of the Virgin Islands, published by the agency itself. No copyright is asserted on it and 17 U.S.C. § 105 does not reach territorial government, so it publishes as a territorial public record.
Our description, tagging, arrangement, extracted text and machine transcripts are released under CC0 1.0. We assert nothing about the document itself.
Archive identifier LF-3f88081f40c8
Document text
Election System of the Virgin Islands Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021 Crystal Gade, St. Thomas, V.I. (340) 774-3107 P.O. Box 1499 Kingshill St. Croix U.S. Virgin Islands 00851 / P.O. Box 6038 St. Thomas U. S. Virgin Islands 00801 CANCELLATION OF FORMER REGISTRATION Date Registered: ________________ Name _____________________________________ I am now registered as an Elector in _____________________, Virgin Islands and hereby authorize the cancellation of my former registration in____________________________ (City or Town) Former Name: ____________________________ (If different from present legal name) Former Address: _____________________________________ Date Of Birth: _______________________ Place Of Birth: ____________________ __________________________ Signature of Elector OFFICIAL USE ONLY Verified by: ____________________________________ Date:_________________ ______________________________________________________________________ Election Officials ELECTION SYSTEMS OF THE VIRGIN ISLANDS FORM 0014/98 SIGN