Petition To Form A Recognized Minor Political Party

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Page ______ of ______
Petition to Form a Recognized Minor Political Party
Solely Within _________ County to be Called __________________
Pursuant to T.C.A. §2-1-104(a), we, the undersigned registered voters of ______________ County in the
State of Tennessee, hereby request and petition that a minor political party be formed solely in
_______________ County and known as the _____________________________________________.
REGISTERED VOTERS of ___________________ County
(Must be registered voters in the State of TENNESSEE)
(Cannot sign for another – no ditto** marks)
(Address as listed on registration – No P.O. Boxes)
1.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
2.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
3.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
4.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
5.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
6.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
7.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
8.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
9.
Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
10. Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
11. Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
12. Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
13. Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________
14. Sign here ______________________________________ Street address _____________________________________________________
Print here _____________________________________ City/County/zip ____________________________________________________

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