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. |
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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. |
Ca. Elec. Code § 10226.3