Loading...
HomeMy WebLinkAboutPetition for CandidacyRevised 06/11/2021 CITY OFFICE PETITION FOR CANDIDACY CANDIDATE INFORMATION &DQGLGDWH1DPH (As it will appear on the ballot.) 7KLVSHWLWLRQPXVWEH¿OHGLQWKHR௻FHRIWKHDSSURSULDWHFLW\FOHUNZLWKWKH'HFODUDWLRQRI&DQGLGDF\RQRUEHIRUHSPRQ WKHODVWGD\RI¿OLQJIRUWKH(OHFWLRQDWZKLFK\RXDUHGHVLULQJWRSDUWLFLSDWHLQ7KHVXEPLWWHGSHWLWLRQPXVWKDYHD௻[HGWKHUHWR WKHQDPHVRIDWOHDVW¿YH  TXDOL¿HGHOHFWRUVZKLFKUHVLGHZLWKLQWKHFLW\ SIGNERS STATEMENT ,WKHXQGHUVLJQHGEHLQJDTXDOL¿HGHOHFWRURIWKHFLW\OLVWHGDERYHLQWKH6WDWHRI,GDKRGRKHUHE\FHUWLI\DQGGHFODUHWKDW,UHVLGHDWWKHSODFHVHW RSSRVLWHP\QDPHDQGWKDW,MRLQLQWKHSHWLWLRQRIWKHFDQGLGDWHIRUWKHRႈFHOLVWHGDERYHWREHYRWHGIRUDWWKHHOHFWLRQWREHKHOGRQWKHBBBBBBBGD\RI BBBBBBBBBBBBBBBBBBBBBBBBDQGWKDWHDFKIRUKLPVHOIVD\V,KDYHSHUVRQDOO\VLJQHGWKLVSHWLWLRQ,DPDTXDOL¿HGHOHFWRURIWKH6WDWHRI,GDKRDQGP\ residence address is correctly written after my name. 6LJQDWXUHRI3HWLWLRQHU 3ULQWHG1DPH Residence Address Date Signed 1. 2. 3. 4. 5.  7. CERTIFICATION State of Idaho County of __________________________________________ ,BBBBBBBBBBBBBBBBBBBBBBBEHLQJ¿UVWGXO\VZRUQVD\7KDW,DPDUHVLGHQWRIWKH6WDWHRI,GDKRDQGDWOHDVWHLJKWHHQ  \HDUVRIDJHWKDWHYHU\ SHUVRQZKRVLJQHGWKLVVKHHWRIWKHIRUHJRLQJSHWLWLRQVLJQHGKLVRUKHUQDPHWKHUHWRLQP\SUHVHQFH,EHOLHYHWKDWHDFKKDVVWDWHGKLVRUKHUQDPHDGGUHVV DQGUHVLGHQFHFRUUHFWO\WKDWHDFKVLJQHULVDTXDOL¿HGHOHFWRURIWKH6WDWHRI,GDKRDQGDUHVLGHQWRIWKHFRXQW\RIBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB &LUFXODWRU6LJQDWXUH$GGUHVV Subscribed and sworn to before me this ______ day of __________________, _______. 1RWDU\6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 1RWDU\3XEOLFLQDQGIRUWKH6WDWHRI,GDKRUHVLGLQJDW _________________________________________________________ 0\&RPPLVVLRQ([SLUHVBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB NOTARY SEAL HERE (&%3HWLWLRQIRU&DQGLGDF\IRU&LW\2ႈFHV±$SSURYHGE\WKH,GDKR6HFUHWDU\RI6WDWH CANDIDATE FILING PERIOD (I.C. 50-410)OFFICE INFORMATION Opens: August 23, 2021 (8:00 am) Closes: September 3, 2021 (5:00 pm) )LOLQJIRUWKH2ႈFHRI CANDIDATE WITHDRAWAL DEADLINES (I.C. 34-1405A) &LW\1DPH September 17, 2021 (5:00 pm) 85 &LW\&RXQFLO6HDWBBBBBBB