§ 17-20-21 - Certifying envelopes.
SECTION 17-20-21
§ 17-20-21 Certifying envelopes. –The secretary of state shall cause to be prepared and printed and shall furnishwith each mail ballot an envelope for sealing up and certifying the ballot whenreturned. The envelope shall be printed in substantially the following form:
"After marking ballot or ballots, fold and enclose in thisenvelope and seal it. Certify to statement hereon. Enclose in envelopeaddressed to board of elections, which must receive the envelope not later thannine o'clock (9:00) p.m. the day of election."
Date of Election:]]]]]]]]]]]]]] City/Townof:]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
Certificate of Voter
I certify under penalty of perjury
Print Name of Voter
that I am a resident of the state of Rhode Island and aqualified voter of the state residing at
(Street and number, if any)
in the city or town of ]]]]]]]]]]]]]]]]]]]]]]]]]]]]]] andthat I am eligible to cast a mail ballot for the reason set forth in myapplication and that I have not qualified to vote elsewhere than as set forthon this envelope, nor do I intend to vote for any of the candidates, amendmentsor propositions named in the enclosed ballot elsewhere or in any other manner.
Voter must sign full name here:
(If unable to sign name because of physical incapacity orotherwise, voter shall make his or her mark "(X)").
Before me the ]]]]]]]]]]]]] day of ]]]]]]]]]]]]]] 20]]]]]]]],at ]]]]]]]]]]]]]]]] (city or town), county of ]]]]]]]]]]]]]]]], state of]]]]]]]]]]]]]]]]]]]], personally appeared the above named voter, to me knownand known by me to be the person who affixed his or her signature to thisballot envelope.
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NotaryPublic
Notary must also print his or her name
Witness:
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(Signature) (Residence)
Note: Mail ballots must either be sworn to before a notarypublic or before two (2) witnesses who must sign their names and addresses. Ifthe voter is incapacitated because of illness, mental or physical disability,blindness or a serious mobility impairment and checked subdivision (3) on themail ballot application, no notarization or witnesses are necessary.