California Elections Code 6365 – The nomination paper for a candidate shall be in substantially the …
The nomination paper for a candidate shall be in substantially the following form:
SECTION OF NOMINATION PAPER SIGNED BY VOTER ON Terms Used In California Elections Code 6365
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Section ____________Page ____________ |
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County of __________. Nomination paper for ____________ as presidential nominee of the Republican Party. |
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State of California County of |
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ss. |
SIGNER’S STATEMENT |
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I, the undersigned, am a voter of the County of ____________, State of California, and am registered as intending to affiliate with the Republican Party. I have not signed the nomination paper of any other candidates for the same office, and further declare that I intend to support the nomination of the candidate named herein at the Republican Party presidential primary to be held on the ____________ day of ____________, 20____. |
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Number _____ Signature _____ Printed name _____ Residence |
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1. |
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2. |
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3. |
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etc. |
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CIRCULATOR’S AFFIDAVIT |
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I, ________, solemnly swear (or affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is 3.That I secured signatures in the County of ________ to the nomination paper of the candidate named in the signer’s statement above as candidate for nomination by the Republican Party at its presidential primary election; that all the signatures on this section of the nomination paper numbered from 1 to ____________, inclusive, were made in my presence, that the signatures were obtained between ____________, 20__, and ____________, 20__, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. |
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(Signed) _____ Circulator _____ |
Subscribed and sworn to before me this ____________ day of ____________, 20 ____. |
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(SEAL) |
Notary Public (or other official) |
(Amended by Stats. 2013, Ch. 278, Sec. 6. (SB 213) Effective January 1, 2014.)