HomeMy WebLinkAboutDoug TaylorCITY OFFICE
CERTIFICATION OF CANDIDATE FILING TO COUNTY CLERK
CITY CLERK
Upon receipt of the Declaration of Candidacy along with the Peon of Candidacy:
1. Verify the qualifications of the Candidate.
2. Verify that the Petition of Candidacy is signed by not less than 5 electors and has been certified by the County Clerk's Office.
a. If the Petition of
Candidacy was not
verified by the County Clerk prior to submission to your
office, deliver the
original
petition
to
the
County
Clerk's
Election
Office
to
have 5 electors
verified
that
they
are
properly
registered
electors.
b. If the electors are required to be residents within city limits, verify that the electors reside within the correct city limits.
3. Stamp or write the date and time of receipt on the front of the Declaration of Candidacy and Petition of Candidacy.
4. Complete the fields and statement below.
5. Transmit a copy of this Certification along with a copy of the Declaration of Candidacy to the County Clerk for ballot preparation.
CANDIDATE NAME BEING CERTIFIED TO THE COUNTY CLERK
Candidate Name (As it will appear on the ballot.)
�o uta T�.ulo �
OFFICE INFORMATION FOR BALLOT PLACEMENT
Filing for the Office of:
City Name:
Meridian
Term -length, seat or position
(if applicable):
D��--
O"r C. 3 SQc�i-3 - y r.- 4erlyl
CERTIFICATION
I, Chris Johnson certify that the qualifications of the candidate listed above have been verified, including the validity
of the electors signing the Petition of Candidacy, and that the individual meets the requirements to run for the office indicated above and on the attached
Declaration of Candidacy to be voted on at the Election to be held on the 7th day of November 12023,
Signature of the erk Repr entative of the District: Dated:
?12sl z3
IMPORTANT
1. Verification of the candidate's qualifications and the validity of the signers of the petition should occur immediately upon receipt of the
filing. This allows the candidate time to correct any errors in the filing.
2. Certification to the County Clerk should occur upon the verification of the candidate's qualifications and the validation of the signers of
the petition. To assist the County Clerk in ballot preparation, do not HOLD these until the last day of filing.
Revised i2/15/2022
CITY OFFICE
DECLARATION OF CANDIDACY
RECEIVED
AUG 2 8 2023
Lot TY U r �ivt ►s I V
Idaho Code 34-701(2) now requires phone numbers to be provided. Idaho Code 34404MrCffERKS OFFICE
that all information in declarations of candidacy shall be made publicly available upon request.
iU,6 5 Qom^
CANDIDATE FILING PERIOD (/.c. 5o4lo)
Opens: August 28, 2023 (8:00 am)
Closes: September 8, 2023 (5:00 pm)
CANDIDATE WITHDRAWAL DEADLINES (cc. 34-1405A)
September 22, 2023 (5:00 pm)
OFFICE INFORMATION
Filing for the Office of:
//++
City Name:
t!r #01PA
Term length, sub -district,
zone, seat or position:
(if applicable)
CANDIDATE INFORMATION
Candidate Name (As it appears on
your voter registration record.)
Candidate Phone
First
Dop Ia,j
MI
At
Last
l y dOVw
Suffix
ZN'09 ®-69r
Residence Address (As it appears
on your voter
registration record)
Street Address
2; :?' N o 47 e toot f�
vt
City
/t4,c.r; ex A
State
I S
Zip Code
F36 v 6 j
County
44
BALLOT NAME
Write your name exactly as you would like it to appear on the ballot
HOMESTEAD EXEMPTION p.c.3a-fo�l2� 34ao�13))
Have you, or your spouse, claimed a homestead exemption? ICJ Yes ❑ No
If Yes, Please List the Address
Street Address
2;2�V N �► At4r3 Atr-e.
City
�t.(4e'1'd1A &*N�
State
Zip Code
County
IGN 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.
CERTIFICATION
I, the undersigned, being a resident of the State of Idaho and of tf}e 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 day of Xj# ✓C an b.. t 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. I submit herewith the filing fee of ($40.00), or in lieu of the filing fee the
nominating petition containing the five (5) signatures of qualified electors as statutorily required.
Dated:
23
Candidate
Subscribed a swo to before metl is '19+kday
Signature:
Notary Public in and for the State of Idaho, residing at
My Commission Expires:
EC-3A-Declaration of Candidacy for City Offices —Approved by the Idaho Secretary of State Revised 04/112023
r
f ,
PURCHASE RECEIPT
City of Meridian Clerk
33 East Broadway Avenue
Meridian ID 83642
(208)888-4433
OTC Local Ref ID: 86262582
8/28/2023 10:06 AM
Your credit card or bank statement will show this charge as City Payment.
Status: APPROVED
Customer Name: Douglas M Taylor
Type: Visa
Credit Card Number: **** **** **** 6997
Items Quantity TPE Order ID
Total Amount
Total 1 59418330 $40.00
Note: Candidacy App
Total remitted to the City of Meridian Clerk $40.00
Access Idaho Fee 1 59418330 $2.20
Total Amount Charged
L
Signature
$42.20
To offer the convenience of using you b card, a service fee of 3% plus $1.00 has been added to
your transaction. This fee goes to ou ird-party provider, Access Idaho. The County does not keep any
portion of this fee.