NOMINATION PAPER | |
I, the undersigned signer for ______ for nomination to the office of ____, to be voted for at the municipal election to be held on the ____ day of ____, 20__, hereby assert as follows: I am a resident of the municipality of ____ 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 the person’s possession which is entitled to be filed under Section 18202 of the Elections
Code. |
DECLARATION OF CANDIDACY |
I hereby declare myself a candidate for nomination to the office of ________ District Number ________ to be voted for at the municipal 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 _________ |
Internet website:_______________________________________ |
I meet the statutory and constitutional qualifications for this office (including, but not limited to, citizenship, and residency). |
I am at present an incumbent of the following public office |
(if any) __________. |
If nominated, I will accept the
nomination, and if elected, I will accept the office. |
Signature of candidate |
A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. |
State of California | ) | |
County of | ) ss. | |
) |
Subscribed and sworn to before me this ___ day of
________, 20____. |
Signature of Notary Public (or other official) Notary Public Seal |
Examined and certified by me this ________ day of ________, 20____. |
County 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 declaration of candidacy in the person’s possession which is entitled to be filed under the provisions of the Elections Code Section 18202. |