General Petition for CandidacyRevised 04/11/2023
CITY OFFICE
PETITION FOR CANDIDACY
CANDIDATE INFORMATION
Candidate Name (As it will appear on the ballot.)
This petition must be filed in the office of the appropriate city clerk with the Declaration of Candidacy on or before 5:00 p.m. on
the last day of filing for the Election at which you are desiring to participate in. The submitted petition must have affixed thereto
the names of at least five (5) qualified electors which reside within the city.
SIGNERS STATEMENT
I, the undersigned, being a qualified elector of the city listed above in the State of Idaho, do hereby certify and declare that I reside at the place set
opposite my name, and that I join in the petition of the candidate for the office listed above, to be voted for at the election to be held on the _______ day of
________________________, 2023, and that each for himself says: I have personally signed this petition; I am a qualified elector of the State of Idaho and my
residence address is correctly written after my name.
Signature of Petitioner Printed Name Residence Address Date Signed
1.
2.
3.
4.
5.
6.
7.
CERTIFICATION
State of Idaho
County of __________________________________________
I, _______________________, being first duly sworn say: That I am a resident of the State of Idaho and at least eighteen (18) years of age: that every
person who signed this sheet of the foregoing petition signed his or her name thereto in my presence: I believe that each has stated his or her name address
and residence correctly, that each signer is a qualified elector of the State of Idaho, and a resident of the county of __________________________________.
Circulator Signature:Address:
Subscribed and sworn to before me this ______ day of __________________, _______.
Notary Signature: ________________________________________________
Notary Public in and for the State of Idaho, residing at
_________________________________________________________
My Commission Expires: ____________________________________
NOTARY
SEAL
HERE
EC-3B - Petition for Candidacy for City Offices – Approved by the Idaho Secretary of State
CANDIDATE FILING PERIOD (I.C. 50-410)OFFICE INFORMATION
Opens: August 28, 2023 (8:00 am)
Closes: September 8, 2023 (5:00 pm)
Filing for the Office of:
City Name:
CANDIDATE WITHDRAWAL DEADLINES (I.C. 34-1405A)Term length, sub-district,
zone, seat or position:
(if applicable)September 22, 2023 (5:00 pm)