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Printable Form 1127-A Visalia California: What You Should Know
VOTING MACHINE. IF BOTH) 4. BIRTH PLACEMENT LOCATION: (designate a location) CERTIFICATE OF SUCCESSION (if applicable) 5. ALTERNATIVE FEDERAL RESERVATION (if applicable) 6. ELECTION STATE IN WHICH VOTING MACHINE WILL BE OPERATED. IN ALPHABETICAL ORDER (First-Citizens, Foreign-Born, Absentee, Active-Voting, Non-Citizen, Registered-Unregistered, etc.) 7. (C) ALTERNATIVE BIRTH CERTIFICATE (if applicable) DATE OF MAILING/FORM FILLED: (As used to mail in the request for an extension of time based on section 6162 or 6162a(d)) 7. (D) (E) STATE, COUNTY, AND POST OFFICE/LEGISLATOR (if applicable) (E) (F) STATE AND LOCALE (if applicable). (F) (G) (H) (I) CURRENT ADDRESS FROM ORIGINAL. (H) (J) (F) (I) COUNTY AND/OR POST OFFICE/LEGISLATOR (if applicable) (I) (J) (K) (L) (M) (N) (P) (Z) (I) (N) (O) (P) (Q) (R) (S) (T) (U) (V) (W) (X) (Y) (Signature Required) (U) (Signature Required) (Y) (Y) (Signature Required) (U) (Signature Required) (V) (Fill out any additional information as required.) (Signature Required) (E) (B) (C) (N) (M) (L) (N) (J) (N) (Y) (U) (Fill out any additional information as required.) Voter Registration Cancellation Request Form (U) (Signature Required) Requested Date of Birth and Social Security Number of Applicant In order to request an extension of time for payment, the applicant must submit the following items with the completed Form 1127 application: The voter registration application that was received from the department of motor vehicles (DMV).
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