Fillable Superintendent of Elections State of Georgia NOTICE OF (Fulton County Government)

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Superintendent of Elections State of Georgia NOTICE OF (Fulton County Government)

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U.S.A. forms for Fulton County Government

BROWSE FULTON COUNTY GOVERNMENT (GA) FORMS

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TO: ________________________________________
Superintendent of Elections
of ___________________________________ County/Municipality
State of Georgia
NOTICE OF CANDIDACY AND AFFIDAVIT
(COUNTY/MUNICIPALITY)
I, the undersigned, being first duly sworn on oath, do depose and say: my name is____________________________________________
______________________________________________________________________________________________________________;
my residence address is __________________________________________________________________________________________
(Street Number) (Street)
_________________________________________________________________________________________________________________________________________;
(City) (County) (State) (Zip Code)
my post office address is__________________________________________________________________________________________;
my telephone number is__________________________________________________________________________________________ ;
(Business) (Home)
my profession, business, or occupation (if any ) is______________________________________________________________________;
the name of my precinct is_______________________________________; I am an elector of the county/municipality of my
residence eligible to vote in the election in which I am a candidate; the name of the office I am seeking is
____________________________________________; my date of birth is_______________; I have been a legal resident
(Circuit, District, or Post if Applicable)
of the State of Georgia for ____________ consecutive years; I have been a legal resident of ____________________ county for
________ consecutive years; I have been a legal resident of my district (if applicable) for _________________ consecutive years;
I have been a legal resident of my circuit (if applicable) for _________ consecutive years; I am a citizen of the United States;
I am eligible to hold such office; that I am a candidate for such office in the ___________________________ to be held on the
(Election)
_____________day of ___________, 20
;
I have never been convicted and sentenced in any court of competent jurisdiction for fraudulent violation of primary or election laws,
malfeasance in office, or felony involving moral turpitude or conviction of domestic violence under the laws of this State, any other State,
or of the United States, or, if so convicted that my civil rights have been restored; and at least ten years have elapsed from the date of
completion of the sentence without subsequent conviction of another felony involving moral turpitude; I am not a defaulter
for any federal, state, county, municipal, or school system taxes required of such officeholder or candidate if such person has been finally
adjudicated by a court of competent jurisdiction to owe those taxes, but such ineligibility may be removed at any time by full payment
thereof, or by making payments to the tax authority pursuant to a payment plan, or under such other conditions as the General Assembly
may provide by general law (pursuant to Ga. Const. Art. II, Sec. II, paragraph III); I will not knowingly violate any provisions of the
Georgia Election Code (O.C.G.A. § 21-2) or of the rules or regulations adopted thereunder.
I understand that any false statement knowingly made by me in this Notice of Candidacy and Affidavit will subject me to criminal
penalties as provided by law and I hereby request you to cause my name to be placed on the ballots to be used in such election as
a candidate for the office I am seeking.
_______________________________________________
(Signature of Candidate)
Sworn to and subscribed before me this ______________________ day of ____________________________, 20__________.
_____________________________________________
(
Notary Public)
My Commission Expires_______________________________________________
(Required by Ga. Election Code O.C.G.A. § 21.2.132.)
I desire that my name appear on the ballot as follows Should I be elected, I desire that my name appear on official
(the surname of the candidate shall be as it appears documents as follows:
on the candidate’s voter registration card) :
___________________________________________ _______________________________________
(Please Print) (Please Print)
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1. □ I am running in a special election for a partisan office and my party affiliation is ____________________________.
□ I am running as a nonpartisan candidate.
□ I am running as an independent candidate.
□ I am the nominee of the _________________________________Party (Body) nominated by:
[ ] Convention (Certified copy of the minutes of the convention attested by the Chairman and Secretary of the convention is
being filed herewith);
[ ] Other (Specify method of nomination and statute and party rule governing and allowing such method of nomination):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
2. [ ] I am required to file the above Notice followed by a nomination petition containing at least______________________
valid signatures due _____________________________________, __________________.
[ ] I am not required to submit a nomination petition pursuant to O.C.G.A. § 21-2-132, because I am:
[ ] Running as a nonpartisan candidate.
[ ] Running as an incumbent.
[ ] Running in a special election.
[ ] Running for a state-wide office nominated by a duly constituted political body convention.
3. [ ] I hereby tender check/money order in the amount of $_______________________________.
NAME OF BANK:_________________________
CHECK NUMBER:________________________
In the event that a candidate pays his or her qualifying fee with a check that is subsequently returned for insufficient funds, the
superintendent shall automatically find that such candidate has not met the qualifications for holding the office being sought, unless the
bank, credit union, or other financial institution returning the check certifies in writing by an officer's or director's oath that the bank,
credit union, or financial institution erred in returning the check as prescribed in O.C.G.A. § 21-2-6(d).
[ ] I hereby file a Pauper’s Affidavit, accompanied by a qualifying petition as prescribed in O.C.G.A. § 21-2-132(g), in
lieu of paying the qualifying fee.
NOTE: CANDIDATES FOR THE FOLLOWING OFFICES MUST FILE AN ADDITIONAL AFFIDAVIT IN
ACCORDANCE WITH THE LISTED CODE SECTION AND MAY HAVE OTHER REQUIREMENTS IN ORDER
TO BE QUALIFIED TO SEEK OFFICE. CANDIDATES SHOULD REVIEW THE QUALIFICATIONS FOR THE
OFFICE FOR WHICH THEY OFFER FOR ELECTION CAREFULLY.
CLERK OF SUPERIOR COURT O.C.G.A. § 15-6-50(b)(2)
JUDGE OF THE PROBATE COURT O.C.G.A. § 15-9-2(a)(2)
SHERIFF O.C.G.A. § 15-16-1(c)(2)
CORONER O.C.G.A. § 45-16-1(b)(2)
TAX RECEIVER O.C.G.A. § 48-5-210(b)(2)
TAX COLLECTOR O.C.G.A. § 48-5-210(b)(2)
TAX COMMISSIONER O.C.G.A. § 48-5-210(b)(2)
Form-NC-C&M-09
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Superintendent of Elections State of Georgia NOTICE OF (Fulton County Government)

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Completed 17 July 2020

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