(Signature of Voter) |
DECLARATION OF CANDIDACY |
I hereby declare myself a candidate for nomination to the office of ________ District Number ________ to be voted for at the primary election to be held ________, 20__, and declare the following to be true: My name is . I want my name and occupational designation to appear on the ballot as
follows: ______________________________________. |
Addresses: Residence Business Mailing |
Telephone numbers: Day _________ Evening _________ |
Web site: _______________________________________ |
I meet the statutory and constitutional qualifications for this office (including, but not limited to, citizenship, residency, and party preference, if required). |
I am at present an incumbent of the following public office |
(if any) __________. |
If nominated, I will accept the nomination and not withdraw. |
Signature of candidate |
A candidate for voter-nominated office shall also complete all of the following: | ||
1. I hereby certify that: | ||
(a) At the time of presentation of this declaration, as shown by my current affidavit of registration, I have disclosed the following political party preference, if any:
. | ||
(b) My complete voter registration and party affiliation/preference history, from [10 years prior to current year] through the date of signing this document, is as follows: | ||
Party Registration | County | Timeframe (by year) |
(2) Pursuant to Section 8002.5 of the Elections Code, select one of the following: | ||
______ Party Preference: _____________________ (insert the name of the qualified political party as disclosed upon your affidavit of registration). | ||
______ Party Preference: None (if you have declined to disclose a preference for a qualified political party upon your affidavit of registration). | ||
Dated this ___ day of _____, 20___. | ||
Signature of candidate |
State of California | ) | |
County of | ) ss. | |
) |
Subscribed and
sworn to before me this ___ day of ________, 20____. |
Notary Public (or other official) |
Examined and certified by me this ________ day of ________, 20____. |
County Elections Official |
NOMINATION PAPER |
I, the undersigned signer for ______ for nomination to the office of ____, to be voted for at the primary election to be held on the ____ day of ____, 20__, hereby assert as follows: I am a resident of ____ County and registered to vote at the address shown on this paper. I am not at this time a signer of any other nomination paper of any other candidate for the above-named office, or in case there are several places to be filled in the
above-named office, I have not signed more nomination papers than there are places to be filled in the above-named office. My residence is correctly set forth after my signature hereto: |
Name |
Residence |
(b) The affidavit of the circulator shall read as follows: |
AFFIDAVIT OF THE CIRCULATOR |
I, ______, solemnly swear (or affirm) that the signatures on this section of the nomination paper were obtained between _____, 20__, and _____, 20__; that I circulated the petition and I witnessed the signatures on this section of the nomination paper being written; and that,
to the best of my information and belief, each signature is the genuine signature of the person whose name it purports to be. My voting residence is ______________. |
Signed |
Subscribed and sworn to before me this ___________ day of _____________, 20__. |
(SEAL)Notary Public (or other official)
_____
|
Examined and certified by me this ___________ day of _____________, 20__. |
Elections Official |