Poll Tax Declaration

I, _____________________, being elected a delegate for the County, State, Congressional, or Judicial Assemblies am UNWILLING to pay a poll tax to participate as a delegate in the previously listed assemblies.

I understand that the State GOP has amended their Bylaws to include the statement, “No individual shall be prevented from serving as a Delegate to any Assembly because such individual is unable or unwilling to pay such fee.” I therefore declare that I am unwilling to pay such a fee until the County Chair, Vickie Tonkins, releases the actual costs of the assembly/caucus expenses so that I may pay my fair share.

SIGNATURE:___________________________ DATE:__________________