Declaration for Nomination and
Oath of Candidacy
Filed this ______day of _________________,20_____
Document # __________________________________
Fee paid: cash check__________ credit
By:__________________________________________
Deputy or Filing Officer
DECLARATION AND OATH OF CANDIDACY TO BE FILED WITH SECRETARY OF STATE OR COUNTY ELECTION ADMINISTRATOR AS APPLICABLE
Filing for
office of: OR Nonpartisan
Full name of office including district and/or department numbers if applicable Name of Political Party
Candidate Name (printed exactly as it should appear on the ballot):
Mailing Address
City and State
Zip Code
Residence Address City and State Zip Code
County of Residence Contact Phone Email Address Website Address
IF THIS DECLARATION IS FOR THE OFFICE OF GOVERNOR, YOU MUST COMPLETE THE FOLLOWING INFORMATION:
Lieutenant Governor Name (printed exactly as it should appear on the ballot):
Mailing Address: Residence Address:
Phone: Email Address: Website Address:
IF THIS DECLARATION IS FOR THE STATE LEGISLATURE, YOU MUST SELECT ONE OF THE FOLLOWING:
(a) I hereby affirm that I am either a resident of the county in which I am a candidate, if it contains one or more legislative districts, or of the
legislative district if it contains all or parts of more than one county, OR
(b) I hereby affirm that I will meet the residency qualification(s) in (a)above for 6 months preceding the general election and will notify the office
of the Secretary of State in writing when I qualify or if I do not qualify.
FILING FEE – FEE MUST BE PAID BEFORE FILING IS VALID:
Candidate Filing Fee, if applicable, in the amount of $ is hereby submitted with this Declaration and Oath of Candidacy.
OATH OF CANDIDACY - CANDIDATE MUST SIGN IN THE PRESENCE OF A NOTARY PUBLIC OR AN OFFICER OF THE OFFICE WHERE THIS FORM IS FILED:
I hereby affirm that I possess, or will possess within constitutional and statutory deadlines, the qualifications prescribed by the Constitution and laws of
the United States and the State of Montana.
__________________________________________________________ ____________________________
Signature of Candidate Date
NOTARY PUBLIC OR AUTHORIZED OFFICER
State of Montana
County of ___________________________
Signed and sworn to before me this __________day of _____________________, 20_________ by _________________________________________.
Printed Name of Candidate
Revised July 24, 2019
Signature of Notary or Public Official
Printed Name of Notary Public
Notary Public for the State of
Residing at:
My commission expires: , 20
Where to file Federal, Stat
ewide,
State District and Legislative offices:
Montana Secretary of State
P.O. Box 202801
State Capitol Building, 1301 E. 6
th
Ave
2
nd
Floor, Room 260
Helena, MT 59620
Online: sosmt.gov/elections/filing/
Fax: 406-444-2023
Where to file County, City and most
Local District offices:
County Election Office
A list of county election offices may be
found at: sosmt.gov/elections
