To the Auditor of _____County |
County Courthouse |
_____(County Seat), Minnesota |
I, __________________________ (Name of person making challenge), am a registered voter in ______________________ County, Minnesota. I reside at ________________________ (Street or Route No.) _______________________ (City or Township).
I challenge the registration of ______________________ (Name of challenged voter) whose registration lists his or her residence as __________________________ (Street or Route No.) ________________________ (City or Township).
The grounds for my challenge are: _____
_____
_____
_____ (attach additional sheets of signed statement if necessary).
__/__/__ | _____ |
(Date) | (Signature of Challenger) |
Minn. R. agency 133, ch. 8200, FORMS, pt. 8200.9950
Statutory Authority: MS s 201.221