COUNTY CIRCUIT COURT / county voter registration office / Indiana Election Commission / Board of Registration As / Board of Registration PRESIDENTIAL CANDIDATE CERTIFICATION OF PRESIDENTIAL ELECTORS NAME COUNTY SEAL HERE Signature / Board of Registration Signature / /
PoliticalEvent
General Election / /
Position
attorney / Clerk / presidential candidate / SECRETARY OF STATE OF INDIANA OR THE INDIANA ELECTION DIVISION OR THE / /
INDIANA PETITION OF NOMINATION FOR FEDERAL, STATE, STATE LEGISLATURE OR LOCAL OFFICE State Form[removed]R17[removed]Indiana Election Commission (IC[removed]; IC[removed]b); IC[removed]CAN-19)