Declaration of CandidacyRevised 06/11/2021
CITY OFFICE
DECLARATION OF CANDIDACY
CANDIDATE FILING PERIOD (I.C. 50-410)OFFICE INFORMATION
Opens: August 23, 2021 (8:00 am)
Closes: September 3, 2021 (5:00 pm)
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CANDIDATE WITHDRAWAL DEADLINES (I.C. 34-1405A)
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September 17, 2021 (5:00 pm)
CANDIDATE INFORMATION
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First MI Last 6Xႈ[
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Street Address City State Zip Code County
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Street Address City State Zip Code County
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Write your name exactly as you would like it to appear on the ballot
CERTIFICATION
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above to be voted on at the Election to be held on the _______ day of ______________________, 2021 and I certify that the information on this Declaration is
true and accurate.
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Subscribed and sworn to before me this ______ day of __________________, _______.
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NOTARY
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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
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at that time, appoint another person as Treasurer or remain as my own Treasurer.
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