(1) provide for the residence address and the mailing address of the individual completing the forms;

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(3) require the applicant to provide the applicant’s voter identification number;

(4) require an individual subject to IC 3-7-32-8 who receives a completed application from the applicant to state on the application the name and residence address of the individual and the date on which the individual received the application from the applicant, with this statement being certified to by the individual under the penalties for perjury;

(5) contain a receipt to be given by an individual subject to IC 3-7-32-8 to the applicant when the individual receives the completed application; and

(6) if the form is a mail registration form:

(A) include the age and citizenship questions listed in IC 3-7-22-5; and

(B) contain a receipt to be given by an individual to an applicant who transmits the application to the individual.

The receipt provided under subdivisions (5) and (6) must state the name and residence address of the individual and the date on which the individual took custody of the application.

     (b) Any version of a form approved by the commission under section 1 of this chapter before August 1, 2013, may not be used after December 31, 2013, or accepted by a county voter registration office under IC 3-5-4-8.

As added by P.L.12-1995, SEC.41. Amended by P.L.3-1997, SEC.91; P.L.199-2001, SEC.11; P.L.258-2013, SEC.51; P.L.169-2015, SEC.37.