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§ 2-2-116. Registration form.

TN Code § 2-2-116 (2019) (N/A)
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1. ____

2. Legal Residence ____

3. City ____ County ____

4. Mailing Address if different from Legal Residence.

5. Social Security number, if any ____

6. Date and place of birth ____

7. Are you a citizen of the United States? ____

8. Where were you last registered to vote?

City ____ County ____ State ____

9. Are you a resident of the State of Tennessee? ____

10. Have you ever been convicted of a crime which is a felony in this state, by a court in this state, a court in another state, or a federal court?

11. If the answer to question ten (10) is “yes,” list the crime, or crimes, for which you were convicted, and date, or dates, of conviction. ____

12. If the answer to question ten (10) is “yes,” have you received a pardon or had your full rights of citizenship restored by a court for all crimes listed?

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§ 2-2-115. Registration by mail -- Forms.
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§ 2-2-117. Voting record form.