Affidavit Inability to Sign Name
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 AFFIDAVIT Pursuant Title 18 section 100(d) of the Election Laws of the Virgin Islands TERRITORY OF THE VIRGIN ISLANDS District of St.______________________ I ______________________________________ DO HEREBY SWEAR AND AFFIRM: That I reside at_________________________________ in the district of ___________; That I possess all the qualifications of an elector or by continued residence in the district will have acquired such qualifications before the next ensuing election and I am, therefore entitled to register; That I hereby allege inability to sign my name and do further allege that this inability is not due to physical infirmity; That I have been informed that I must present affidavits subscribed in person before a member of the board or clerk of two electors who are personally acquainted with me and know my qualific …
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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 AFFIDAVIT Pursuant Title 18 section 100(d) of the Election Laws of the Virgin Islands TERRITORY OF THE VIRGIN ISLANDS District of St.______________________ I ______________________________________ DO HEREBY SWEAR AND AFFIRM: That I reside at_________________________________ in the district of ___________; That I possess all the qualifications of an elector or by continued residence in the district will have acquired such qualifications before the next ensuing election and I am, therefore entitled to register; That I hereby allege inability to sign my name and do further allege that this inability is not due to physical infirmity; That I have been informed that I must present affidavits subscribed in person before a member of the board or clerk of two electors who are personally acquainted with me and know my qualifications as an elector before my registration may be completed; That this affidavit was read to me that I understand its contents and that the facts therein are true and correct. I hereby subscribe to the truth of the statement herein contained, and to my oath or affirmation by the marking of my mark. __________________________ Witness _______________________ Subscribed and sworn to before note by the said______________________________ on this ___________day of________________ 19____ by the making in the presence of the witness hereto so swearing. _______________________ Notary Public ELECTION SYSTEMS OF THE VIRGIN ISLANDS FORM 0010/98