By July 3, 2008, the candidate will need to submit the following to the Indiana Election Division:

1) A โ€œCAN-3โ€ Form (see instructions below). MUST BE NOTARIZED

2) A list of Presidential electors, residents of Indiana. The candidate must list at least 1 elector, name(s) only, and no more than 11. The sheet that contains this list should make reference to the โ€œCAN-3โ€ Form like this, or words to this effect: “This list is incorporated by reference in the CAN-3 form executed by me on (this date).”

Mail to:

Indiana Secretary of State


Elections Division


302 West Washington Street


Room E-204


Indianapolis, IN 46204


INSTRUCTIONS for CAN-3 Form:

On questions 1, 7, and 8, concerning residence, simply include the


correct information regarding your residence, but cross out “
Indiana“,


and insert the name of the applicable state.

With regard to the presidential electors needed, Indiana Code


3-8-2-2.5(f) states that a write -in candidate must list at least 1


candidate for presidential elector, and may not list more than the total


number of presidential electors to be chosen in Indiana (11). This list


would be considered part of the CAN-3 document, which is notarized by

the candidate. You may wish to include a statement to the effect of


“This list is incorporated by reference in the CAN-3 form executed by me

on this date”, or words to that effect.


Brad King


Co-Director


Indiana Election Division


(317) 232-3939


(800) 622-4941