Declaration of Candidacy, Council - Laughlin, Jeff - 9/2/2015Declaration of Candidacy
I, the undersigned, affirm that I am a qualified elector of the City of
a91-e— , State of Idaho, and that I have resided in the city for at
least thirt (30) days. I hereby declare myself to be a candidate for the office
of ,�'/,.oa, for a term of -/- years, to be voted for at the
election to be held on the 3 day of November, a/S , and certify that I
possess the legal qualifications to fill said office, and that my residence address
is 39002 w G o ! d Fo.r /c D jc =L A
"O'��
ndidate's Signature
Subscribed �� before me this day of L-1i , 1S
�pTAR y 3lgried"��.r --
Notary Public in and for the State of Idaho
&40"F 0 residing at l
Uc %4 �oc.v�r 1 r My Commission expires
OFFICIAL USE ONLY
cTTV MARit
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify:
This declaration is accompanied by:
The attached Petition of Candidacy signed by at least five qualified city
electors with the attached verification from the county clerk,
OR
A nonrefundable filing fee of $40.
The City Clerk (or designee) must verify that the person submitting this declaration is a
qualified city elector as defined in Idaho Code 50- 402(c) and that the residence address
provided above matches the address on the individualis voter registration.
This declaration was accepted
f/ Name, Title 1
on '7 O .
�i at
ate Time
After the close of the candidate filing period, a copy of this form must be transmitted
immediately to the County Clerk to assist in ballot preparation.
✓Merl 'led COUNTY CLERK
Upon receipt of this Declaration of Candidacy, stamp the date and time of receipt on the
front of this document. This document is to be used for ballot preparation.