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Get 30 Day Cancellation Notice

1-800-95-12345 DATE 30-DAY NOTICE OF CANCELLATION The voter registration you currently hold in the CITY OF WYOMING may be cancelled as we have been advised that you are no longer a resident of this state. FROM HEIDI ISAKSON CITY CLERK 1155 28TH STREET SW P BOX 905. O. WYOMING MI 49509-0905 FIRST CLASS MAIL FORWARDING SERVICE REQUESTED RESPONSE CARD 30-DAY NOTICE OF CANCELLATION OuT-OF-STATE e l p FULL NAME Print or Type DATE OF BIRTH TELEPHONE NUMBER c I wish to remain registered in Michigan as my absence from the state is temporary. c Please cancel my voter registration in Michigan m a as my move out-of-state is permanent. I CURRENTLY RESIDE AT S / / / / MICHIGAN DRIVER LICENSE NUMBER OR STATE ISSUED PERSONAL IDENTIFICATION NUMBER X SIGNATURE FORM 551 PRINTING SYSTEMS INC. If you have permanently moved to an address outside of Michigan Detach complete and return the reply card at the bottom to confirm your address as soon as possible. Please note that in order to vote you must register with the clerk of the jurisdiction within the state where you now reside. If you have not permanently moved to an address outside of Michigan If the reply card is not returned you will be asked to confirm your address at the polls on election day. registration will be cancelled* QUESTIONS Contact the City Clerk at 616 000-0000 PRINTING SYSTEMS 1-800-95-12345 COMPLETE OPPOSITE SIDE DETACH AND MAIL BOTTOM PORTION PLEASE PLACE POSTAGE HERE. If you have permanently moved to an address outside of Michigan Detach complete and return the reply card at the bottom to confirm your address as soon as possible. Please note that in order to vote you must register with the clerk of the jurisdiction within the state where you now reside. Please note that in order to vote you must register with the clerk of the jurisdiction within the state where you now reside. If you have not permanently moved to an address outside of Michigan If the reply card is not returned you will be asked to confirm your address at the polls on election day. If you have not permanently moved to an address outside of Michigan If the reply card is not returned you will be asked to confirm your address at the polls on election day. registration will be cancelled* QUESTIONS Contact the City Clerk at 616 000-0000 PRINTING SYSTEMS 1-800-95-12345 COMPLETE OPPOSITE SIDE DETACH AND MAIL BOTTOM PORTION PLEASE PLACE POSTAGE HERE. If you have permanently moved to an address outside of Michigan Detach complete and return the reply card at the bottom to confirm your address as soon as possible. Please note that in order to vote you must register with the clerk of the jurisdiction within the state where you now reside. If you have not permanently moved to an address outside of Michigan If the reply card is not returned you will be asked to confirm your address at the polls on election day. Please note that in order to vote you must register with the clerk of the jurisdiction within the state where you now reside. If you have not permanently moved to an address outside of Michigan If the reply card is not returned you will be asked to confirm your address at the polls on election day. registration will be cancelled* QUESTIONS Contact the City Clerk at 616 000-0000 PRINTING SYSTEMS 1-800-95-12345 COMPLETE OPPOSITE SIDE DETACH AND MAIL BOTTOM PORTION PLEASE PLACE POSTAGE HERE.

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