SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF A PRESIDENTIAL CANDIDATE OR UNCOMMITTED DELEGATE | ||
Section _________Page _____ | ||
County of ______________. Nomination paper of a candidate or uncommitted delegation for the presidential primary ballot. | ||
State of California County of | ⎱ ⎰ | ss. |
SIGNER’S STATEMENT | ||
I, the undersigned, am a voter of the County of ____, State of California, and am registered as affiliated with the Democratic Party. I hereby nominate ____ for the presidential primary to be held on the ____ day of ____, 20__. I have not signed the nomination paper of any other candidate or uncommitted delegation,
and I further declare that I intend to support the candidate or uncommitted delegation named herein. | ||
Number
_____
Signature
_____
Printed name
_____
Residence | ||
1. | ||
2. | ||
3. | ||
etc. | ||
CIRCULATOR’S AFFIDAVIT | |
I, ____________, solemnly swear (or affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is ______________________________________________________________.] 3.That I secured signatures in the
County of ____________ to the nomination paper of a candidate or uncommitted delegation for the presidential primary ballot named in the signer’s statement above; that all the signatures on this section of the nomination paper numbered from 1 to ___, inclusive, were made in my presence, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. The signatures were obtained between ____________, 20___, and ____________, 20____. | |
(Signed)
_____
Circulator
_____
| |
Subscribed and sworn to before me this ____ day of ____, 20____. | |
(SEAL) |
_____
Notary Public (or other official)
_____
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SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF CANDIDATE | ||
Section ____________Page ____________ | ||
County of __________. Nomination paper for ____________ as presidential nominee of the Republican Party. | ||
State of California County of | ⎱ ⎰ | ss. |
SIGNER’S STATEMENT | ||
I, the undersigned, am a voter of the County of ____________, State of California, and am registered as intending to affiliate with the Republican Party. I have not signed the nomination paper of any other candidates for the same office, and further declare that I intend to support the nomination of the candidate named herein at
the Republican Party presidential primary to be held on the ____________ day of ____________, 20____. | ||
Number
_____
Signature
_____
Printed name
_____
Residence | ||
1. | ||
2. | ||
3. | ||
etc. | ||
CIRCULATOR’S AFFIDAVIT | ||
I, ________, solemnly swear (or affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.That I secured signatures in the County of ________ to the nomination paper of the candidate named in the signer’s statement above as candidate for nomination by the Republican Party at its presidential primary election; that all the signatures on this section of the nomination paper numbered from 1 to ____________, inclusive, were made in my presence, that the signatures were obtained between ____________, 20__, and ____________, 20__, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. |
(Signed)
_____
Circulator
_____
| |
Subscribed and sworn to before me this ____________ day of ____________, 20 ____. | |
(SEAL) | Notary Public (or other official) |
SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF PRESIDENTIAL PREFERENCE PRIMARY CANDIDATE | ||
Section ____________Page ____________ | ||
County of ______________. Nomination paper of a presidential preference candidate for the American Independent Party presidential primary ballot. | ||
State of California County of | ⎱ ⎰ | ss. |
SIGNER’S STATEMENT | ||
I, the undersigned, am a voter of the County of ____________, State of California, and am registered as intending to affiliate with the American Independent
Party. I hereby nominate ____________ for the presidential preference portion of the American Independent Party’s presidential primary ballot, to be voted for at the presidential primary to be held on the ____________ day of ____________, 20____. I have not signed the nomination paper of any other candidate for the same office, or for any group of delegates, to the national convention of the party, and I further declare that I intend to support the candidate named herein. |
Number
_____
Signature
_____
Printed name
_____
Residence |
1. |
2. |
3. |
etc. |
CIRCULATOR’S AFFIDAVIT | |
I, ______, solemnly swear (or
affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.That I secured signatures in the County of ____ to the nomination paper of a candidate in the presidential preference
primary of the American Independent Party; that all the signatures on this section of the nomination paper numbered from 1 to ____, inclusive, were made in my presence, that the signatures were obtained between ____, 20_, and ____, 20_, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. I declare under penalty of perjury that the foregoing is true and correct. | |
(Signed)
_____
Circulator
_____
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SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF GROUP OF CANDIDATES FOR DELEGATES TO NATIONAL CONVENTION | ||
Section ____________Page ____________ | ||
County of ______________. Nomination paper of group of candidates for election as delegates by the American Independent Party pledged to the candidacy of ____________ as presidential nominee or expressing no preference, as the case may be. | ||
State of California County of | ⎱ ⎰ | ss. |
SIGNER’S STATEMENT | ||
I, the undersigned, am a voter of
the County of ____________, State of California, and am registered as intending to affiliate with the American Independent Party. I hereby nominate the following: |
_____
Residence city Number
_____
Names
_____
or town
_____
County | ||
1. | ||
2. | ||
3. | ||
etc. | ||
(to such number as may be required) etc., as candidates for delegates to the American Independent Party’s National Convention, to be voted for at the presidential primary to be held on the ____________ day of ____________, 20____. I have not signed the nomination paper of any other candidates for the same office, or of any candidate for the presidential preference portion of the primary ballot, and I further declare that I intend to support for nomination the candidates named herein. | ||
Number
_____
Signature
_____
Printed name
_____
Residence | ||
1. | ||
2. | ||
3. | ||
etc. |
CIRCULATOR’S
AFFIDAVIT | |
I, ______, solemnly swear (or
affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.That I secured signatures in the County of ____ to the nomination paper of the group of candidates named in the signer’s statement above as candidates for nomination and
election by the American Independent Party as delegates to represent the State of California in the party’s next national convention; that all the signatures on this section of the nomination paper numbered from 1 to ____, inclusive, were made in my presence, that the signatures were obtained between ____, 20_, and ____, 20_, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. I declare under penalty of perjury that the foregoing is true and correct. | |
(Signed)
_____
Circulator
_____
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SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF PRESIDENTIAL PREFERENCE PRIMARY CANDIDATE | ||
Section ______Page ______ County of _________. | ||
Nomination paper of a presidential preference candidate for the Peace and Freedom Party presidential primary ballot. | ||
State of California County of | ⎱ ⎰ | ss. |
SIGNER’S STATEMENT | ||
I, the undersigned, am a voter of the County of ______, State of California, and am registered as affiliated with the Peace and Freedom Party. I hereby nominate ________ for the presidential preference portion of the Peace and Freedom Party’s presidential primary ballot, to be voted for at the presidential primary to be held on the ______ day of June, 20__. I have not signed the nomination paper of any other candidate for the same office, or for any group of delegates to the national convention of the ______ Party, with which the Peace and Freedom Party of California is affiliated on the national level. | ||
Number | Signature | Printed name | Residence street address /city |
1. | |||
2. | |||
3. | |||
etc. | |||
CIRCULATOR’S AFFIDAVIT | |
I, ______, affirm
all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.That I secured signatures in the County of ____ to the nomination paper of a candidate in the presidential preference primary of the Peace and Freedom Party, that all the
signatures on this section of the nomination paper numbered from 1 to ____, inclusive, were made in my presence, that the signatures were obtained between ____, 20_, and ____, 20_, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. I declare under penalty of perjury that the foregoing is true and correct. Executed at ____, California, this ____ day of ____, 20_. | |
(Signed)
_____
Circulator
_____
(Printed name) |
SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF GROUP OF CANDIDATES FOR DELEGATES TO NATIONAL CONVENTION | ||
Section ______Page ______ County of _________. | ||
Nomination paper of group of candidates for election as delegates by the Peace and Freedom Party pledged to the candidacy of ______ as presidential nominee, or expressing no preference, as the case may be. | ||
State of California County of | ⎱ ⎰ | ss. |
SIGNER’S
STATEMENT | ||
I, the undersigned, am a voter of the County of ______, State of California, and am registered as affiliated with the Peace and Freedom Party. I hereby nominate the following: | ||
Number | Names | Residence city or town | County |
1. | |||
2. | |||
3. | |||
etc. | |||
(to the number as may be required) as candidates for delegate to the national convention of the ______ Party, with which the Peace and Freedom Party of California is affiliated on the national level, to be voted for at the presidential primary to be held on the ______ day of June, 20___. I have not signed the nomination paper of any other group of candidates for delegates to the national convention or of any candidate for the presidential preference portion of the primary ballot. | |||
Number | Signature | Printed name | Residence street address /city |
1. | |||
2. | |||
3. | |||
etc. | |||
CIRCULATOR’S AFFIDAVIT | |
I, ______, affirm all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.That I secured signatures in the County of ____ to the nomination paper
of the group of candidates named in the signer’s statement above as candidates for nomination and election by the Peace and Freedom Party as delegates to represent the Peace and Freedom Party of California in the ____ Party’s next national convention, that all the signatures on this section of the nomination paper numbered from 1 to ____, inclusive, were made in my presence, that the signatures were obtained between ____, 20__, and ____, 20__, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. I declare under penalty of perjury that the foregoing is true and correct. Executed at ____, California, this ____ day of ____, 20__. | |
(Signed)
_____
Circulator
_____
(Printed name) |
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 |
AFFIDAVIT OF THE CIRCULATOR | |
I, ______, solemnly swear (or affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.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. | |
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 | |
WARNING: Every person acting on behalf of a candidate is guilty of a misdemeanor who deliberately fails to file at the proper time and in the proper place any nomination paper in his or her possession which is entitled to be filed under Section 18202 of the Elections Code. |
County of _______.Nomination paper of ______, candidate for the office of _______. | ||
State of California County of | ⎱ ⎰ | ss. |
SIGNER’S STATEMENT | ||
I, undersigned, am a voter of the County of ______, State of California. I hereby nominate __________, who resides at No. ______, ________ Street, City of ________, County of ______, State of California, as a candidate for the office of _______ to be voted for at the election to be held on the ______ day of ______, 20___. I have not signed the nomination paper of any other candidate for the same office. | ||
Number Signature | Printed Name | Residence | ||
1. | ||||
2. | ||||
3. | ||||
4. | ||||
5. | ||||
etc. |
CIRCULATOR’S AFFIDAVIT | |
I, ________, solemnly swear (or affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.That I
secured signatures in the County of ______ to the nomination paper of ________ as candidate for the office of ______; that the signatures were obtained between _______, 20__, and ________, 20__; that I saw all the signatures on this section of the nomination paper being signed 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. | |
_____
(Signed) Circulator | |
Subscribed and sworn to before me this ______ day of ______, 20__. |
(SEAL)
_____
| Notary Public (or other official) |
“NOMINATION PAPER | ||
We, the undersigned voters of the ____ of ____ hereby nominate ____ for the office of ____ of the city: | ||
Name | Residence | |
AFFIDAVIT OF THE CIRCULATOR | ||
State of California County of | ⎱ ⎰ | ss. |
I, ______, solemnly swear (or
affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is . [If no street or number exists, a designation of my residence adequate to readily ascertain its location is .] 3.That the signatures on this nomination paper were obtained between _____, 2__, and _____, 2__; that I circulated this petition and I saw the signatures on this section of the nomination papers 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. | ||
(Signature) | ||
I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed by me at ____, on ____, 2__. |
AFFIDAVIT OF THE NOMINEE | ||
State of California County of | ⎱ ⎰ | ss. |
______ being duly sworn, says that he or she is the above-named nominee for the office of ____, that he or she will accept the office in the event of his or her election, that he or she desires his or her name to appear on the ballot as follows: | ||
(Print name above), | ||
and that he or she desires the following designation to appear on the ballot under his or her name: | ||
(Print desired designation above), | ||
and that his or her residence address is . | ||
(Print residence address as provided by affiant) | ||
I certify (or declare) under the penalty
of perjury under the laws of the State of California that the foregoing is true and correct. Executed by me at ____, on ____, 2___.” |