Fillable Write-in Candidate STATE OF ARIZONA NOMINATION PAPER DECLARATION (City of South Tucson)

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Write-in Candidate STATE OF ARIZONA NOMINATION PAPER DECLARATION (City of South Tucson)

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BROWSE CITY OF SOUTH TUCSON (AZ) FORMS

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FOR OFFICE USE ONLY
STATE OF ARIZONA
Write-in Candidate
NOMINATION PAPER
DECLARATION OF QUALIFICATION
A.R.S. §§ 16-311, 16-312
You are hereby notified that I, the undersigned, a qualified elector, am a candidate for the office of
______________________________________________for the __________________________ Party (if
applicable) to be voted on at the PRIMARY or GENERAL (circle one) election to be held on ____ day of
_____________________, 20____. I will have been a citizen of the United States for
years before
my election and will have been a citizen of Arizona for years before my election. I am ______
years old and my date of birth is ___________________, __________, and I have resided in
_______________ County for years, in precinct
for
years before my election, and I currently reside in the city or town I propose to represent. I meet
the write-in eligibility requirements pursuant to A.R.S. § 16-312(F).
Actual residence address City or town Zip
or description of place of residence (required)
Post office address (if applicable) City or town Zip
Print or type your name on the following line in the exact manner you
wish it to be listed on the Notice of Official Write-In Candidates, last name first.
,
LAST NAME FIRST NAME
I declare, under penalty of perjury, that the information in this Nomination Paper and Declaration of
Qualification is true and correct, and that at the time of filing I am a resident of the county, city, town, district,
ward, or precinct which I propose to represent, that I have no final, outstanding judgments against me of an
aggregate of $1,000 or more that arose from failure to comply with or enforcement of campaign finance law,
and as to all other qualifications, I will be qualified at the time of election to hold the office that I seek.
________________________________________ ____________________________________
CANDIDATE SIGNATURE DATE
League Revision 7/1/2019
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signature
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ESTADO DE ARIZONA
Candidato Agregado Por Escrito
DOCUMENTO DE NOMINACIÓN
DECLARACIÓN DE APTITUD
A.R.S. §§ 16-311, 16-312
Por la presente se le notifica a usted que yo, el suscrito, un elector capacitado, soy candidato para
el cargo de __________________________ para el Partido (si corresponde)
__________________________ para ser votado en la elección PRIMARIA o GENERAL (haga un círculo
alrededor de uno) que se realizará el ____ día de _____________________de 20____. Habré sido
ciudadano de los Estados Unidos por años antes de mi elección y habré sido ciudadano de
Arizona por años antes de mi elección. Tengo ______ años y mi fecha de nacimiento es
___________________, __________, y he residido en Condado de _________________ por _____ años,
en el recinto por ____
años antes de mi elección, y
actualmente resido en la ciudad o el pueblo que me propongo representar. Cumplo con los requisitos de
elegibilidad para candidato agregado por escrito de conformidad con A.R.S. § 16-312 (F).
Dirección exacta de la residencia Ciudad o pueblo Código postal
o descripción del lugar de residencia (requerido)
Dirección de la oficina postal (si corresponde) Ciudad o pueblo Código postal
Imprima o escriba a máquina su nombre en la línea siguiente de la manera exacta en que
desea que aparezca en el Aviso de Candidatos Oficiales Agregados Por Escrito, apellido primero.
,
APELLIDO NOMBRE
Declaro, bajo pena de perjurio, que la información en este Documento de Nominación y
Declaración de Aptitud es verdadera y correcta, y que al momento de presentar la solicitud soy residente
del condado, de la ciudad, del pueblo, distrito, barrio, o recinto que me propongo representar, que no tengo
sentencias finales pendientes en mi contra de un total de $1,000 o más que surgieron por incumplimiento o
aplicación de la ley de financiamiento de campañas, y en cuanto a todas las demás calificaciones, estaré
capacitado en el momento de la elección para ocupar el cargo que busco.
________________________________________ ____________________________________
FIRMA DEL CANDIDATO FECHA
Revisión de la Liga 7/1/2019
SOLAMENTE PARA USO
DE LA OFICINA
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Write-in Candidate STATE OF ARIZONA NOMINATION PAPER DECLARATION (City of South Tucson)

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Completed 24 January 2021

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