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Click ‘Get Form’ to open the affidavit of impecuniosity in the editor.
Begin by entering your personal information in the 'INFORMATION ABOUT THE CANDIDATE' section. Fill in your name, phone number, street address, city, state, and zip code accurately.
In the statement section, clearly write your name again where indicated. This affirms that you are swearing to your inability to pay the filing fee due to poverty.
Sign the document in the designated area for the candidate's signature and date it appropriately.
Ensure you understand that filing a false statement is a criminal offense. Review this section carefully before proceeding.
If required, leave space for the Elections Officer’s signature and title. This will be filled out during submission.
Once completed, save your document and follow instructions for mailing or delivering it to The Lieutenant Governor’s Office as specified.

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2010	4.8 Satisfied (86 Votes)

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