In making a declaration of candidacy by nominating petition or by pre-primary convention designation, the candidate shall submit substantially the following form as approved by the secretary of state for that election:

“DECLARATION OF CANDIDACY BY PRE-PRIMARY CONVENTION DESIGNATION (OR BY NOMINATING PETITION) I,                                         , (candidate’s name on certificate of registration) being first duly sworn, say that I reside at                                        , as shown by my certificate of registration as a voter of Precinct No.                     of the county of                                , State of New Mexico;

I am a member of the                                         party as shown by my certificate of registration and I have not changed such party affiliation subsequent to the secretary of state’s general election proclamation calling the primary in which I seek to be a candidate;

I desire to become a candidate for the office of                                             at the primary election to be held on the date set by law for this year, and that I actually reside at the address designated on my certificate of voter registration;

I will be eligible and legally qualified to hold this office at the beginning of its term;

If a candidate for any office for which a nominating petition is required, I am submitting with this statement a nominating petition in the form and manner as prescribed by the Primary Election Law; and

I make the foregoing affidavit under oath, knowing that any false statement herein constitutes a felony punishable under the criminal laws of New Mexico.

(Declarant) (Mailing Address) (Residence Address) Subscribed and sworn to before me this         day of        , 20    .

(Notary Public) My commission expires:

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