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APPLICATION AND AFFIDAVIT FOR VOTER VERIFICATION CARD Form Provided by the Arkansas Secretary of State (Rev. 08/28/2017) Full Legal Name: ___ Residential Street Address (where registered to vote):
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Application and affidavit is used to provide information or make a request in a formal manner.
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Application and affidavit should be filled out accurately and completely, following the instructions provided.
The purpose of application and affidavit is to gather necessary information or make a formal request.
The information reported on application and affidavit may vary depending on the specific requirements, but typically includes personal details, statements, and certifications.
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