Please understand that we are not saying people should not vote or should vote. If you really look into what is going on you are voting in a defacto government. You must decide for yourself!

(Your name and address)
(Date)

To:

Secretary Of State
or
Board of Elections

Your County
Street
City, State Zip

Dear Sir/ Madam,

      If you are not the proper department to make this request I am expecting you to forward this to the proper department.

      This is my request for you to remove, expunge, blot out my name ____________________________ from your records and am requesting my original application cancelled and sent back to me. Please also send me written confirmation to the address above once this has been completed.

Thank you,

________________________

(signature)

I, ___________________, certify under penalty of perjury that I am the one making the request as stated above.

________________________

(signature)