Fillable Candidate Statement of Interest A.R.S. 16-311; A.R.S. 16-341(I) (City of South Tucson)

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Candidate Statement of Interest A.R.S. 16-311; A.R.S. 16-341(I) (City of South Tucson)

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Candidate Statement of Interest
A.R.S. § 16-311; A.R.S. § 16-341(I)
You are hereby notified that I, the undersigned, hereby declare my interest to run as a
candidate for the office of _______________________________ for District _____ (if applicable),
in the [City/Town] of ______________________________ at the [regular/special] Election to be
held on Tuesday, _______________, ______, 20____. I am seeking the nomination of the
________________Party (if applicable).
Candidate Information (Print your information.)
Name:
Last First
Residence Address:
Street
City State Zip Code
Mailing Address:
Street
City State Zip Code
Primary Phone: ( ) - Type of Phone: Home Work Cell
Alternate Phone: ( ) - Type of Phone: Home Work Cell
Primary Email:
Alternate Email:
By submitting this document, I understand that any nomination petition signatures collected before
the date of this Statement of Interest are invalid and may be subject to challenge pursuant to A.R.S.
§ 16-351, unless signatures were collected before August 27, 2019 and this Statement of Interest
was filed by January 2, 2020. I understand this Statement is not a formal declaration of
candidacy and that filing of the nomination paper is the formal notification for seeking
municipal office.
Candidate Signature Date
Declaración de Interés del Candidato
A.R.S. § 16-311; A.R.S. § 16-341(I)
Por la presente le notifico que yo, el abajo firmante, por la presente declaro mi interés en
postularme como un candidato para el puesto de _______________________________ para el
Distrito _____ (si corresponde), en la/el [Ciudad/Pueblo] de _____________________________
en la Elección regular/especial (ponga un círculo alrededor de uno) que se llevará a cabo
el martes, _______________, ______ de 20____. Busco la nominación del Partido
________________(si corresponde).
Información del Candidato (Imprima su información.)
Nombre:
Apellido Nombre
Dirección del domicilio:
Calle
Ciudad Estado Código postal
Dirección postal:
Calle
Ciudad Estado Código postal
Teléfono principal: ( ) - Tipo de teléfono: Hogar Trabajo Celular
Teléfono alterno: ( ) - Tipo de teléfono: Hogar Trabajo Celular
Correo electrónico principal:
Correo electrónico alterno:
Al presentar este documento, entiendo que cualquier firma de petición de nominación recolectada
antes de la fecha de esta Declaración de Interés no es válida y puede estar sujeta a impugnación de
conformidad con A.R.S. § 16-351, a menos que las firmas fueran recolectadas antes del 27 de
agosto de 2019 y que esta Declaración de Interés fuera presentada a más tardar el 2 de enero de
2020. Entiendo que esta Declaración no es una declaración formal de candidatura y que la
presentación del documento de nominación es la notificación formal para la postulación de
cargos municipales.
Firma del candidato Fecha
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Candidate Statement of Interest A.R.S. 16-311; A.R.S. 16-341(I) (City of South Tucson)

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Completed 24 January 2021

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