JULIE DENT GEORGE GONZALEZ

PRESIDENT ExEcurvE DtRECToR

JUAN CARLOS'J.C.' POLANCO DAWN SANDOW

SrcRernRv DEPUry ExEculvE DrREcroR

JOSE MIGUEL AMUJO PAMELA GREEN PERKINS

NAOMI BARRERA
NANCY MOTTOLA-SCHACHER BOARD OF ELECTIONS ADMINISTRATIVE MANAGER

MICHAEL J. RYAN IN
J.P. SIPP THE CITY OF NEW YORK
GREGORY C. SOUMAS EXECUTIVE OFFICE, 32 BROADWAY
JUDITH D, STUPP NEWYORK, NY 1OOO4_1609
FREDERIC M. UMANE (212) 487-5300
CoMMISSIoNERS FFX (212) 487-5349
www.vote. nyc. ny. us

August 24,2010

Nelson L. Castro
5 Buchanan Place, Apt. 1G
Bronx, NY 10453

I\OTICE OF INTENT TO CANCEL

Dear Mr. Castro:

The Board of Elections in the City of New York has reason to believe that you are no longer
qualified to be a registered voter in the City of New York. The Board of Elections believes that
it may be required to cancel your registration.

If you do not appear or answer by mail within 14 days after the mailing of this notice, your
registration will be cancelled. All written responses must be made in English.

However, after the cancellation of your registration, you may register pursuant to the provisions
of Title IV, Section 5-400 through 5-404 of the State of New York Election Law. For
information on this procedure, including days and hours of local registration and the location of
local registration places, the deadline for personal registration by mail, call 866-VOTE-NYC or
visit our Web site, wwrv.vote.nvc.ny.us.

(ovER)
 / /20

NOTICE OF INTENT TO CANCEL FORM

BOARD OF ETECTIONS IN THE CITY OF NEW YORK

To the Boord of Elections in the City of New york:

I om in receipt of your notice of your intent to concel my registrotion.

I understond thot my foilure to return this form within 14 doys of the
notice with which this form wos sent will result in the concellotion of
my registrotion.
I offirm (under the penoliies provided by low) thot I om eligible to
vote in the County of . City of New York, Stote of
New York for the following
Reosons:

I further offirm thot ihe oddress where I live in County is:

Signoture:
Nome (Printed):
Dote:
PLEASE RETURN THIS FORM IN THE
ENCLOSED POSTAGE PAID ENVELOPE.

If you have moved out of the city and want to reregister to vote, you
should contact your local county board of elections for the New york
state Board of Elections. For information you may call l-gooFoR-
vorE or visit the New York state Board of Elections website at
www.election s. state. ny. us
rf such registered voter shall fail to appear or writes, the board is
not satisfied that he is qualified to remain registered, the board shall
cancel his registration.