Choctaw Nation of Oklahoma PO Box 1210 Durant, Oklahoma 74702-1210 Phone: 580-924-8280 or 1-800-522-61 OFFICE OF TRIBAL MEMBERSHIP Greetings, The Constitution of the Choctaw Nation of Oklahoma does not permit dual enrollment. Therefore, if you wish to stay a member of the Creek Nation, you cannot become a member of the Choctaw Nation. If you are a member of the Muscogee (Creek) Nation and wish to terminate your membership/voting rights with them to become a member of the Choctaw Nation, then you may do so by completing the enclosed relinquishment statement and returning it the following address: Muscogee (Creek) Nation Attn: Citizenship Board P.O. Box 580 Okmulgee, OK 74447 Once the Creek Nation has received and processed the relinquishment, they will send a copy to us. Please check with our office for the status of your relinquishment, at which time you will need to submit a Tribal Membership application (if you have not already done so). We will then complete the process of making you a member of the Choctaw Nation of Oklahoma and will send you a Tribal Membership card. This will in no way affect your Certificate of Degree of Indian Blood card (CDIB); it only pertains to membership/voting. Should you have any questions regarding this matter, please do not hesitate to contact us. Respectfully, Tribal Membership Choctaw Nation of Oklahoma The Muscogee (Creek) Nation Of Oklahoma Citizenship Board Citizenship Board -^^^c&fc, tykon Scott tfarjo Okmulgee,n, P,aB°nr OK 874447?^7 Joan Jfenson 'BoardMember 'EtizaBeth yafioto, RELINQUISHMENT STATEMENT <BoardMem6er Clarence Johnson 'Board'Member I , born , do hereby relinquish my membership as a member of the Muscogee (Creek) Nation. I am making this relinquishment voluntarily and I understand I will no longer be a member of the Muscogee (Creek) Nation. I understand this will terminate my membership rights and political rights I may have as a member of the Muscogee (Creek) Nation. Muscogee (Creek) Nation Code Annotated, Citizenship/Census, Title 7, § 4-113, Section B. Resignation irrevocable states: The resignation of a member over the age of eighteen shall be an absolute and irrevocable resignation effective upon the date of receipt by the Citizenship Board Office. Dated this day of , 20 . Name: Roll #. Social Security #: Phone # Address: Card Returned: Yes No Explain: What tribe will you be transferring your membership to: Signature Subscribed and sworn before me this day of , 2Q_ Notary Public My Commission Expires: You may contact our office at 1-800-482'1979 or (918) 756-8700, ext. 7940/7941/7942/7943.