HomeMy WebLinkAboutWrite In Declaration of Intent - deadline 9-08Revised 04/07/2023
CITY OFFICE - WRITE IN
DECLARATION OF INTENT
OFFICE INFORMATION
Write-In For the Office Of:City:Term Length:
CERTIFICATION
I, the undersigned, being a resident of the State of Idaho and of the City listed above, do hereby declare myself a candidate for
the office entered above to be voted on at the Election to be held on the 7th day of November, 2023 and I certify that the information on this
Declaration is true and accurate.
I further certify that I possess the legal qualifications to hold said office, that I am a qualified elector of the City listed above, and
that I have resided in the city for at least thirty (30) days.
Dated:Candidate Signature:
Subscribed and sworn to before me this ______ day of __________________, _______.
Signature: ________________________________________________
Notary Public in and for the State of Idaho, residing at
_________________________________________________________
My Commission Expires: ____________________________________
NOTARY
SEAL
HERE
OFFICIAL USE ONLY
CITY CLERK
Before accepting this Declaration of Intent, the City Clerk (or designee) must verify that the person submitting this declaration is a qualified
city elector as defined in Idaho Code 50-402(c) and that the residence address provided above matches the address on the individual's voter
registration.
This declaration was accepted by ___________________________________________ on ______________________ at ______________.
A copy of this form must be transmitted to the County Clerk as soon as possible after it is filed.
COUNTY CLERK
Upon receipt of this Declaration of Intent, stamp the date and time of receipt on the front of this document.
Name, Title Date Time
CAMPAIGN FINANCE INFORMATION
I do hereby certify that I am a registered elector of the State of Idaho and appoint myself as treasurer for my campaign. If any campaign
finance contributions or expenditures reach or exceed $500, I will create a Campaign Finance account with the Secretary of State, and may
at that time, appoint another person as Treasurer or remain as my own Treasurer.
FILING AND WITHDRAWAL DEADLINES
Last Day To File:
Last Day To Withdraw:
September 8, 2023 (5:00 pm) (I.C. 34-702A)
September 22, 2023 (5:00 pm) (I.C. 34-717)
HOMESTEAD EXEMPTION (I.C. 34-107[2], 34-701[3])
Have you, or your spouse, claimed a homestead exemption? Yes No
If Yes, Please List the Address
Street Address City State Zip Code County
CANDIDATE INFORMATION
Candidate Name (As it appears on your voter registration record.)Candidate Phone
First MI Last Suffix
Residence Address (As it appears on your voter registration record.)
Street Address City State Zip Code County
MERIDIAN