{"data":{"id":"us-tn/tenn.-code-ann.-2-2-116","jurisdiction":"us-tn","citation":"Tenn. Code Ann. § 2-2-116","heading":"Registration form","body":"The permanent registration record shall be substantially as follows, shall contain all the information required before being signed by the registrant, and shall be witnessed as indicated on the form. PERMANENT REGISTRATION RECORD 1. ______________ Last Name First Name Middle Name Sex 2. Legal Residence ______________ Number Street or Road Apt. 3. City ____________________ County ______________ 4. Mailing Address if different from Legal Residence. ______________ 5. Social Security number, if any ______________ 6. Date and place of birth ______________ 7. Are you a citizen of the United States? ______________ 8. Where were you last registered to vote? City ____________________ County ____________________ State ______________ 9. Are you a resident of the State of Tennessee? ______________ 10. Have you ever been convicted of a crime which is a felony in this state, by a court in this state, a court in another state, or a federal court? ______________ 11. If the answer to question ten (10) is \"yes,\" list the crime, or crimes, for which you were convicted, and date, or dates, of conviction. ______________ 12. If the answer to question ten (10) is \"yes,\" have you received a pardon or had your full rights of citizenship restored by a court for all crimes listed? ______________ State of Tennessee ss County of I, being duly sworn on oath (or affirmation) declare that the above address is my legal residence and that I plan to remain at such residence for an undetermined period of time and say that to the best of my knowledge and belief all of the foregoing statements made by me are true. ____________________ Signature of Applicant If the registrant signs by a mark, or cannot sign at all, fill in the following information: Sworn to and subscribed to before me this ____________________ day of ____________________, 20 ____________________, ____________________ ____________________ Signature of Administrator of Elections or other person taking affidavit ______________ Official Position Registered as voter in District ____________________ Ward ____________________ Precinct ____________________ effective ____________________. Acts 1972, ch. 740, § 1; 1978, ch. 941, § 3; T.C.A., § 2-216; Acts 1981, ch. 337, § 1; 1981, ch. 345, § 5; 1989, ch. 274, § 2; 1994, ch. 919, §§ 13-15; 2001, ch. 413, § 12; 2002, ch. 698, § 4; 2008 , ch. 928, § 2.\nThe permanent registration record shall be substantially as follows, shall contain all the information required before being signed by the registrant, and shall be witnessed as indicated on the form.\nPERMANENT REGISTRATION RECORD\n1. ______________ Last Name First Name Middle Name Sex\nLast Name First Name Middle Name Sex\n2. Legal Residence ______________ Number Street or Road Apt.\nNumber Street or Road Apt.\n3. City ____________________ County ______________\n4. Mailing Address if different from Legal Residence. ______________\n______________\n5. Social Security number, if any ______________\n6. Date and place of birth ______________\n7. Are you a citizen of the United States? ______________\n8. Where were you last registered to vote? City ____________________ County ____________________ State ______________\n9. Are you a resident of the State of Tennessee? ______________\n10. Have you ever been convicted of a crime which is a felony in this state, by a court in this state, a court in another state, or a federal court? ______________\n______________\n11. If the answer to question ten (10) is \"yes,\" list the crime, or crimes, for which you were convicted, and date, or dates, of conviction. ______________\n12\n. Are you a resident of the State of Tennessee? ______________\n10. Have you ever been convicted of a crime which is a felony in this state, by a court in this state, a court in another state, or a federal court? ______________\n______________\n11. If the answer to question ten (10) is \"yes,\" list the crime, or crimes, for which you were convicted, and date, or dates, of conviction. ______________\n12. If the answer to question ten (10) is \"yes,\" have you received a pardon or had your full rights of citizenship restored by a court for all crimes listed? ______________ State of Tennessee ss County of I, being duly sworn on oath (or affirmation) declare that the above address is my legal residence and that I plan to remain at such residence for an undetermined period of time and say that to the best of my knowledge and belief all of the foregoing statements made by me are true. ____________________ Signature of Applicant If the registrant signs by a mark, or cannot sign at all, fill in the following information: Sworn to and subscribed to before me this ____________________ day of ____________________, 20 ____________________, ____________________ ____________________ Signature of Administrator of Elections or other person taking affidavit ______________ Official Position Registered as voter in District ____________________ Ward ____________________ Precinct ____________________ effective ____________________.\n______________\nState of Tennessee\nss\nCounty of\nI, being duly sworn on oath (or affirmation) declare that the above address is my legal residence and that I plan to remain at such residence for an undetermined period of time and say that to the best of my knowledge and belief all of the foregoing statements made by me are true.\n____________________\nSignature of Applicant\nIf the registrant signs by a mark, or cannot sign at all, fill in the following information:\nSworn to and subscribed to before me\nthis ____________________ day of ____________________, 20 ____________________,\n____________________ ____________________\nSignature of Administrator of Elections or\nother person taking affidavit\n______________\nOfficial Position\nRegistered as voter in District ____________________ Ward ____________________\nPrecinct ____________________ effective ____________________.","path":["TN Code","Title 2","Chapter 2"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_tn_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:26Z","sha256":"5ccec03a2a078059a8f6849d1668a10d39c6f099db58f40e713e706de36d8c9f","source_id":"us-tn","stale":false,"prev":"us-tn/tenn.-code-ann.-2-2-115","next":"us-tn/tenn.-code-ann.-2-2-117"},"notice":"GroundRules: Original legal text. Not legal advice."}