Fillable Form 5-304 State of Maryland Candidate Information Sheet

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Form 5-304 State of Maryland Candidate Information Sheet

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The Form 5-304 State of Maryland Candidate Information Sheet form is 1 page long and contains:

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  • 32 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

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State of Maryland
Candidate Information Sheet
Candidate ID
This form is a worksheet. It is provided to expedite the filing
process and is not an official document. The CERTIFICATE OF
CANDIDACY is the official candidacy filing document.
This column is for
FOR BOARD USE ONLY
Voter ID
ELECTION INFORMATION
Election Year
1
Y Y Y Y
Primary Election
General
Election
Office Sought
2
Local
State
Federal
District Running In
3
Verified
FOR
CONGRESSIONAL
RACES ONLY
4
District living in: District running in:
number 4 matches number 11
Party Affiliation
5
Place a
in each box to
indicate the required
information has been
provided.
Financial Disclosure
Statement of
Organization
Identification
Filing Fee
Alternate Name Affidavit
Ethics Email Receipt
Ethics employee:
CANDIDATE INFORMATION
Legal Name
as registered to vote
6
First
Name
Middle Name
or Initial
(if applicable)
Last
Name
Jr Sr II III IV
Name to Appear
on Ballot
7
First
Initial if different
Name
from legal name
Middle Name
or Initial
Last
(if applicable)
Name
Jr Sr II III IV
Additional Information
8
Birthdate
M M D D Y Y Y Y
Gender: M F
Gender match to voter registration
Phone
9
Contact
(for board)
Public
Public Email
10
Residence Address
11
Address
City/Town
State MD Zip Code
County
number 11 matches number 4
Method of Payment:
Visa
MasterCard
Check #
Election District
Precinct
CCF ID#
FEC#
SBE/LBE Staff:
SBE/CCF Form# 5-304 IS 03/011/2019
Public
Mailing Address
12
Same as above
Address or P.O. Box
City/Town
State Zip Code
Public Web
and Social Media
13
website URL
Facebook
Twitter
other social media
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Form 5-304 State of Maryland Candidate Information Sheet

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Completed 24 May 2020

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