Change Of Address
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1CHANGE OF ADDRESS
This form is for registered voters of Putnam County moving to another location within Putnam County. You can NOT use this
form to register to vote, change a name, or to move from one county to another!
Name printed
or typed ______________________________________________________________ DOB _____________
(Last Name)
(First Name)
(Middle Initial/Name)
Please change my address to:
_________________________________________________________________________________________
(New Address)
Mailing Address inside this county
(if different from above, such as a PO Box, please include City and Zip) __________________________
__________________________________________________________________________________________________________
Phone Number ______________________________
Date__________________________________
________________________________________
_____________________________________________
Print name of voter
Signature of voter
Mail to: Putnam County Election Commission; 705 County Services Dr; Cookeville, TN 38501
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Parent category: Legal