Form 429 "Voting Equipment Purchased With Hava Funds Disposal Form" - Ohio

This version of the form is not currently in use and is provided for reference only.
Download this version of Form 429 for the current year.

What Is Form 429?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 429 by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 429 "Voting Equipment Purchased With Hava Funds Disposal Form" - Ohio

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Form No. 429 Prescribed by the Secretary of State (09-17)
Voting Equipment Purchased with HAVA Funds
Disposal Form
The Ohio Secretary of State’s Office has adopted a policy on transfer or disposal of voting
equipment purchased with Help America Vote Act (HAVA) funds. This form is to be used for the
proper disposal of voting equipment.
The
County Board of Elections has voting equipment that is no longer
county
in working condition due to age, malfunction, or damage and will therefore dispose of the
equipment in accordance with the aforementioned policy listed below as of this
day of
, 20
.
year
month
Please list the quantity of equipment, a brief description of the equipment and the
estimated value of the equipment being transferred.
Quantity
Item Description
Estimated Value
If you need more space, please attach a list of items, quantity and their estimated value.
The Board of Elections shall maintain accurate records of all equipment disposed of in the event of
relevant audits, claims, litigation, negotiations or other proceedings regarding the disposal of voting
equipment originally purchased with Help America Vote Act (HAVA) funding.
Board of Elections Director's Signature
Date (MM/DD/YYYY)
Board of Elections Chair's Signature
Date (MM/DD/YYYY)
SOS USE ONLY
The Secretary of State’s office has approved the disposal of the above list of voting equipment.
Director of Elections’ Signature of Approval
Date (MM/DD/YYYY)
Form No. 429 Prescribed by the Secretary of State (09-17)
Voting Equipment Purchased with HAVA Funds
Disposal Form
The Ohio Secretary of State’s Office has adopted a policy on transfer or disposal of voting
equipment purchased with Help America Vote Act (HAVA) funds. This form is to be used for the
proper disposal of voting equipment.
The
County Board of Elections has voting equipment that is no longer
county
in working condition due to age, malfunction, or damage and will therefore dispose of the
equipment in accordance with the aforementioned policy listed below as of this
day of
, 20
.
year
month
Please list the quantity of equipment, a brief description of the equipment and the
estimated value of the equipment being transferred.
Quantity
Item Description
Estimated Value
If you need more space, please attach a list of items, quantity and their estimated value.
The Board of Elections shall maintain accurate records of all equipment disposed of in the event of
relevant audits, claims, litigation, negotiations or other proceedings regarding the disposal of voting
equipment originally purchased with Help America Vote Act (HAVA) funding.
Board of Elections Director's Signature
Date (MM/DD/YYYY)
Board of Elections Chair's Signature
Date (MM/DD/YYYY)
SOS USE ONLY
The Secretary of State’s office has approved the disposal of the above list of voting equipment.
Director of Elections’ Signature of Approval
Date (MM/DD/YYYY)