OATH OF PERSON ENTERING CHALLENGE
State of Florida
County of
I do solemnly swear or affirm that my name is ; that I am a member of the Party; that I am a registered voter or pollwatcher; that my residence address is, in the municipality of ; and that I have reason to believe that is attempting to vote illegally and the reasons for my belief are set forth herein to wit:
(Signature of person challenging voter)
Sworn and subscribed to before me this day of, (year) .
(Clerk of election)
Fla. Stat. § 101.111
Former ss. 99.26, 102.42.