(a) The nomination petitions described in Kan. Stat. Ann. § 25-4004, and amendments thereto, shall be in substantially the following form:

  I, the undersigned, an elector of the county of ____________, and state of Kansas, and a duly registered voter and a member of the __________ party, hereby nominate

_________________________

(Here insert name and city)

Terms Used In Kansas Statutes 25-4005

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • General election: refers to the election required to be held on the Tuesday following the first Monday in November of each even-numbered year. See Kansas Statutes 77-201
  • Residence: means the place which is adopted by a person as the person's place of habitation and to which, whenever the person is absent, the person has the intention of returning. See Kansas Statutes 77-201
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See Kansas Statutes 77-201

and state of Kansas as a candidate for the office of governor, and running with such candidate

_________________________

(Here insert name and city)

and state of Kansas as a candidate for the office of lieutenant governor to be voted for at the primary to be held on the first Tuesday in August in __________, as representing the principles of such party; and I further declare that I intend to support the candidates herein named and that I have not signed and will not sign any nomination petition for any other persons, for such offices at the next ensuing election.

(HEADING)

Name of  Street Number   Name of  Date ofSigners  or RR   City  Signing  (as Registered)

All nomination petitions shall have substantially the foregoing form, written or printed at the top thereof. No signature shall be counted unless it is upon a sheet having such written or printed form at the top thereof.

(b) Each signer of a nomination petition shall sign only one such petition for governor and lieutenant governor, and shall declare that such signer intends to support the candidates named in such petition. The signer’s residence, including the street and number, if any, or such address as otherwise shown on such signer’s registration shall be included with such signer’s signature. No signature shall be counted unless the place of residence of the signer is clearly indicated and the date of signing given as herein required and if ditto marks are used to indicate address such marks shall be continuous and clearly made. Such sheets shall not be cut or pasted together.

(c) (1) All signers of each separate nomination petition shall reside in the same county. The affidavit of a petition circulator, as defined in Kan. Stat. Ann. § 25-3608, and amendments thereto, shall be appended to each such nomination petition, stating that to the best of such petition circulator’s knowledge and belief:

(A) All the signers thereof are qualified electors of that county;

(B) such signers signed the petition with full knowledge of the contents thereof;

(C) such signers’ respective residences are correctly stated therein;

(D) each signer signed the petition on the date stated opposite such signer’s name; and

(E) the affiant intends to support the candidates therein named.

(2) Such affidavit shall be prima facie evidence of the facts stated in such affidavit.

(d) Such nomination petition shall be signed by not less than 1% of the total vote of the party designated in the state. The basis of the percentage shall be the vote of the party for secretary of state at the last preceding general election of secretary of state, or, in case of a new party, the basis of a percentage shall be the vote cast for the successful candidate for secretary of state at the last preceding general election of secretary of state.