Notice Of Loss Of Voting Rights Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Loss Of Voting Rights Form. This is a Washington form and can be use in King Local County.
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Tags: Notice Of Loss Of Voting Rights, 10, Washington Local County, King
IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON FOR
KING COUNTY
IN RE THE GUARDIANSHIP OF
_____________________________
Incapacitated Person
NO.
NOTICE OF LOSS OF VOTING RIGHTS
(Proposed SCOMIS Code: NTLVR)
(CLERK’S ACTION REQUIRED – send
notice to County Auditor)
On _____________________, this matter came before the court. Pursuant to Laws of
Washington RCW 11.88.010, it has been determined that the individual named in this
notice lacks the capacity to understand the nature and effect of voting such that she or
he cannot make an individual choice and should not retain the right to vote.
Accordingly, the court has appointed a guardian and has revoked the right to vote.
Name:________________________________________
Date of Birth:__________
Address:_____________________________________________________________
Date:_______________
___________________________________________
Signature of Filing Party
___________________________________________
Printed Name/WSBA#
___________________________________________
Address
I hereby certify that I personally mailed the above notice to the Auditor of the county in which the incapacitated person
resides on _______________________.
________________________________________________
Deputy Clerk, ______________ County Superior Court
Notice of Loss of Voting Rights
Revised Dec 2005
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