Date filed: _______________________
LOCAL TAXING DISTRICT ELECTION INFORMATION
(Due in County Clerk’s Office by November 30, )
Name Mailing Address Email Address Phone
N
AME AND ADDRESS OF DISTRICT:
Name of taxing district
Location of Office Mailing Address
NAME AND ADDRESS OF DISTRICT ELECTION OFFICIAL: (usually Secretary or Clerk)
____________________________________________________________________________________________________________
Name Mailing Address
____________________________________________________________________________________________________________
Email Address Phone
P
LACE WHERE DECLARATION OF CANDIDACIES ARE AVAILABLE & FILED:
____________________________________________________________________________________________________________
DATE OF NEXT ELECTION: ___________________________________________________
CURRENT OFFICEHOLDERS - SEAT/POSITION – TERM OF OFFICE – EXPIRATION OF OFFICE
(If more space is required, please make note and put on back of page.)
Name Address
Phone Seat Term Expiration Date
Name Address
Phone Seat Term Expiration Date
Name Address
Phone Seat Term Expiration Date
Name Address
Phone Seat Term Expiration Date
Name Address
Phone Seat Term E xpiration Date
Name Address
Phone Seat Term Expiration Date
Name Address
Phone Seat Term Expiration Date
Name Address
Phone Seat Term Expiration Date
M
ODE OF ELECTION: Zone or Sub-district _________________ District-wide _______________
(Are officials elected from a zone or subdistrict only or are they voted on by all electors district-wide?)
NO ELECTION OPTION:
Is an election held if only one candidate files for a position?________YES _________NO
I
hereby certify that the above information is true and correct.
_____________________________________________ _____________________________________________
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