_________________________, 20_____ (Date of Letter) Department of _____________________________ (Government Department or Office) _________________________________________ (Room, Floor or P.O. Box) _________________________________________ (Government Office Building) _________________________________________ (Street Address) _________________________________________ (City, State and Zip Code) RE: __________________________________ (Request for Voter Registration List) Attn: Registration Office Dear Registration Office: Kindly provide the undersigned with a Voter Registration list for ____________________ County in the State of ____________________. Voting results for the most recent national election are desired, with a breakdown of votes for each candidate for the following office(s): ___________________________________________________________________________ _____________________________ (specify office(s) for which voting statistics are requested). Should this information be readily available from sources other than your office, please advise accordingly. This request is made on behalf of _____________________ _____________________ (individual, group, political party, etc.). Thank you for fulfilling this request. Very truly yours, ______________________________ (Signature) ______________________________ (Address) ______________________________ (City, State and Zip Code) ______________________________ (Phone Number) LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006 This is not a substitute for legal advice. An attorney must be consulted.