Fill and Sign the Tax Declaration Forms 2004

Colorado Voter Registration Form For office use only Voter ID Number: ________________________ Date Stamp: Fill out all fields marked with an asterisk (*). Follow the instructions for other fields. If you do not provide all of the required information, your application to register to vote will not be complete. Your eligibility to vote Are you a citizen of the United States?* Yes No Will you be at least 18 years of age on or before the next Election Day?* Yes No If you answered "No" to either of the above questions, do not complete this form. Your name Last name* First name* Middle name If you are currently registered to vote with a different name, what is that name? Your identifying information Your birthdate* Your gender* (MM/DD/YYYY) Female Male You must select one of the following and provide the requested information* I have a valid Colorado Driver's License or Colorado ID card (issued by the Dept. of Revenue) and that number is - - I have not been issued a Colorado Driver's License or ID card, but I have a Social Security Number & the last 4 digits are - - I do not have a Colorado Driver's License, ID card, or a Social Security Number. Your contact information Your home address Street address (No P.O. Boxes)* Apt. or Unit ZIP Code* Colorado County State ZIP Code Your former address If you are changing your registration to a new address, you must provide the address where you were formerly registered to vote. Street address (No P.O. Boxes) Apt. or Unit City or Town State ZIP Code When did you move to this address?* City or Town* (MM/DD/YYYY) Address where you receive your mail (required if different from your home address) Mailing address Apt. or Unit City or Town Your phone number and email Area code Phone number Email address Select or change your political party affiliation Select only one. (Required if you want to vote in a party's Primary Election or participate in a party caucus). American Constitution Green Democratic Libertarian Republican Unity Unaffiliated Voting by mail - Do you wish to be designated as a permanent mail-in voter? Yes, I want to be a permanent mail-in voter and automatically receive a mail-in ballot for all applicable elections. No, I do not want to be a permanent mail-in voter and if my name is on the permanent mail-in list I want it removed. No, but I would like a mail-in ballot for this year's statewide elections. If you want mail-in ballots only for certain elections or have different mailing addresses during certain times of the year, you will need to fill out a separate Mail-in Ballot Application. Helping with elections I would like to be an election judge or poll worker. Yes No Sign or mark below WARNING: It is a crime to swear or affirm falsely as to your qualifications to register to vote. A violation of the self-affirmation, of which you are about to make, is a criminal act under Colorado law and you will be subject to the penalties provided by law. Self-Affirmation: I do solemnly affirm that I am a citizen of the United States and that on the date of the next election I shall have attained the age of eighteen years and shall have resided in the state of Colorado at least 30 days and in my present precinct at least 30 days before the election. I further affirm that the present address I listed herein is my sole legal place of residence and that I claim no other place as my legal residence. I am aware that I can only legally vote in one place in any election and if I register to vote in Colorado I am also considered a resident of Colorado for income tax and motor vehicle registration and operation. Date* Signature or Mark* SOS Approved 4-1-10 Print Form Witness Signature Date (If you are registering for a Mail-in Ballot and are unable to sign, you must make a mark and a witness to the mark must sign here). [Sections 1-2-204, 1-2-501, 1-8-104, C.R.S.] Information about this registration Other frequently asked questions about registering and voting How do I turn in this form? Will I need identification to vote? Sign the form. Then mail, deliver, or scan the signed form and email it to your county clerk and recorder. You may find a list with contact information at www.elections.colorado.gov. You may also mail it to Colorado Department of State Elections Division 1700 Broadway, Suite 200 Denver, CO 80290 If I don't know my Colorado driver's license or Colorado ID card number may I provide my Social Security Number instead? No. If you have a Colorado Driver's License or ID card issued by the Colorado Department of Revenue, you must provide that number for your application to be complete. How will I know if my registration was processed? You will receive an official information card from your county clerk and recorder's office approximately 20 days after they receive your registration form. You may also check your status at the Colorado Secretary of State website by visiting www.sos.state.co.us, clicking on the “verify/ update my voter registration” link. Am I eligible to register to vote? You are eligible to vote if you: • will be 18 years of age or older at the time of the next election • are a United States citizen • are a Colorado resident and have lived in your current precinct for at least 30 days before the election • are not serving a sentence (including parole) for a felony conviction Who should I contact if I have more questions? Contact your county clerk and recorder. You may find a list with contact information at www.elections.colorado.gov. You may also contact the Secretary of State's office Phone: 303-894-2200 ext. 6307 Fax: 303-869-4861 Email: State.ElectionDivision@sos.state.co.us Acceptable forms of identification when voting If you vote in person, yes. If you are voting by mail for the first time, you may need to provide a photocopy of your ID. A complete list of acceptable forms of identification is at the bottom of this page. When is the last day to register to vote? 29 days before an election. What is mail-in voting? If you choose not go to the polls on Election Day, you may apply to vote by mail-in ballot. Under Colorado law, your Mail-in Ballot Application must contain your printed name, signature, residence address, mailing address if you wish to receive the ballot by mail, and date of birth. If you do not provide all of this information, you may not receive a mail-in ballot according to the rules established by the Secretary of State. [Section 1-8-104(6), C.R.S.] What is permanent mail-in voting? If you choose to be placed on the list of permanent mail-in voters, you will receive a mail-in ballot for every applicable election. Alternatively, you may ask for a mail-in ballot for a specific election or the calendar year. What is the deadline for requesting a mail-in ballot? Your county clerk and recorder must receive your application no later than the close of business on the 7th day before the election. If you mail your application, make sure to allow time for delivery. If you want to pick up your mail-in ballot, you may pick it up at your county clerk's office no later than the Friday before the election. May I register to vote if I was arrested for or convicted of a crime? Yes, if you • are on probation for either a misdemeanor or felony • are a pretrial detainee awaiting trial • are currently in jail serving a misdemeanor sentence only • have served your sentence for a felony conviction, including any period of parole Once you have served your complete sentence, you are automatically eligible to register to vote. If you were previously registered, that registration will have been canceled and you must re-register if you wish to vote. If your form of identification shows your address, that address must be in the state of Colorado. • a valid Colorado driver's license • a valid identification card issued by the Department of Revenue in accordance with the requirements of Part 3 of Article 2 of Title 42, C.R.S. • a valid U.S. passport • a valid employee identification card with a photograph of the eligible elector issued by any branch, department, agency, or entity of the United States government or of this state, or by any county, municipality, board, authority, or other political subdivision of this state • a valid pilot's license issued by the Federal Aviation Administration or other authorized agency of the United States • a valid U.S. military identification card with a photograph of the eligible elector • a copy of a current utility bill, bank statement, government check, paycheck, or other government document that shows the name and address of the elector. For examples, please visit: www.elections.colorado.gov • a valid Medicare or Medicaid card issued by the Centers for Medicare and Medicaid Services • a certified copy of a U.S. birth certificate for the elector issued in the United States • certified documentation of naturalization • a valid student identification card with a photograph of the eligible elector issued by an institute of higher education in Colorado, as defined in section 23-3.1-102(5), C.R.S.