“UNSIGNED BALLOT STATEMENT | |
I,, am a registered voter of __________ County, | |
State of California. I do solemnly swear (or affirm) that I requested and returned a vote by mail ballot and that I have not and will not vote more than one ballot in this election. I understand that if I commit or attempt any fraud in connection with voting, or if I aid or abet fraud or attempt to aid or abet fraud in connection with voting, I may be convicted of a felony punishable by imprisonment for 16 months or two or three years. I understand that my failure to sign this statement means that my vote by mail ballot will be invalidated. | |
Voter’s Signature | |
Address” |
“READ THESE INSTRUCTIONS CAREFULLY BEFORE COMPLETING THE
STATEMENT. FAILURE TO FOLLOW THESE INSTRUCTIONS MAY CAUSE YOUR BALLOT NOT TO COUNT. | |
1. In order to ensure that your vote by mail ballot will be counted, your statement should be completed and returned as soon as possible so that it can reach the elections official of the county in which your precinct is located no later than 5 p.m. on the eighth day after the election. | |
2. You must sign your name on the line above (Voter’s Signature). | |
3. Place the statement into a mailing envelope addressed to your local elections official. Mail, deliver, or have delivered the completed statement to the elections official. Be sure there is sufficient postage if mailed and that the address of the elections official is
correct. | |
4. Alternatively, you may submit your completed statement by facsimile transmission to your local elections official, or submit your completed statement to a polling place within the county or a ballot dropoff box before the close of the polls on election day. |
“UNSIGNED BALLOT STATEMENT | |
I,, am a registered voter of __________ County, | |
State of California. I do solemnly swear (or affirm) that I requested and returned a vote by mail ballot and that I have not and will not vote more than one ballot in this election. I understand that if I commit or attempt any fraud in connection with voting, or if I aid or abet fraud or attempt to aid or abet fraud in connection with voting, I may be convicted of
a felony punishable by imprisonment for 16 months or two or three years. I understand that my failure to sign this statement means that my vote by mail ballot will be invalidated. | |
Voter’s Signature | |
Address” |
“READ THESE INSTRUCTIONS CAREFULLY BEFORE COMPLETING THE STATEMENT. FAILURE TO FOLLOW THESE INSTRUCTIONS MAY CAUSE YOUR BALLOT
NOT TO COUNT. | |
1. In order to ensure that your vote by mail ballot will be counted, your statement should be completed and returned as soon as possible so that it can reach the elections official of the county in which your precinct is located no later than 5 p.m. on the eighth day after the election. | |
2. You must sign your name on the line above (Voter’s Signature). | |
3. Place the statement into a mailing envelope addressed to your local elections official. Mail, deliver, or have delivered the completed statement to the elections official. Be sure there is sufficient postage if mailed and that the address of the elections official is correct. | |
4. Alternatively, you may
submit your completed statement by facsimile transmission to your local elections official, or submit your completed statement to a polling place within the county or a ballot dropoff box before the close of the polls on election day. |
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 Green 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 preferring the Green Party. I hereby nominate ____________ for the presidential preference portion of the Green 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. | ||
Number_________Signature_________Printed
name_________Residence | ||
1. | ||
2. | ||
3. | ||
etc. | ||
CIRCULATOR’S DECLARATION | ||
I, ________, affirm all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street 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 Green 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] _____________________________ |
CERTIFICATE OF COUNTY ELECTIONS OFFICIAL TO NOMINATION PAPERS OF A CANDIDATE | ||
To the Secretary of State: | ||
I, County Elections Official of the County of ______, hereby certify that I have examined the nomination papers, to which
this certificate is attached, of the presidential candidate, and that the number of names which I have not marked “not sufficient” is _______. The candidate named in the nomination papers is comprised of the following: _______________________________________________________ | ||
Dated this ________ day of ________, 20___. | ||
________________________ | ||
(SEAL) | County Elections Official By Deputy |