Petition For Political Party Recognition
I, the undersigned, a qualified elector in the county of , state of Arizona, hereby petition that a new political party become
eligible for recognition, and be represented by an official party ballot at the next ensuing regular primary election, to be held on the _________________________
and accorded a column on the official ballot at the succeeding general election to be held on the _______________________. A new political party is entitled to
representation as a political party on the official ballot through the next two regularly scheduled general elections for federal office immediately following recognition
of the political party. Said party shall be known as _________________________________________________________________________________. I further
declare that if I choose to use a post office box address on this petition, my residence address has not changed since I last reported it to the county recorder for
purposes of updating my voter registration file.
Signature
Printed name
Actual residence address, description of place of residence, or
Arizona post office box address, city or town
Date of
signing
1.
2.
3.
4.
5.
6.
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8.
9.
10.
Secretary of State, Revised 7/17/2012
I, a person who is not required to be a resident of this state but who is otherwise qualified to
(Printed Name)
register to vote in the county of , in the state of Arizona, hereby verify that each of the names on the petition was signed in my presence
on the date indicated; that in my belief each signer was a qualified elector who resides at the address given as their residence on the date indicated.
Signature of Circulator
Typed or Printed Name of Circulator
Circulator's Actual Residence Address
(If no street address, a description of residence location shall be
included on the petition)
City or Town and Zip Code
Secretary of State, Revised 7/17/2012
Instructions for Circulators
1. All petitions shall be signed by circulator.
2. Circulator is not required to be a resident of this state but otherwise must be qualified to register to vote in this state and, if not a resident of this
state, shall register as a circulator with the secretary of state.
3. Circulator’s name shall be typed or printed under the circulator’s signature.
4. Circulator’s actual residence address or, if no street address, a description of residence location shall be included on the petition.