Declaration of Candidacy - Bastian, Stanley J. - 9/4/2015Declaration of Candidacy
I, the undersigned, affirm that I am a qualified elector of the City of , State of Idaho, and
that I have resided in the city for at least thirty (30) days. I hereby declare myself to be a candidate for the office of
for a term of years, to he voted for at the election to be held on the a_
day of November,, and certify that I possess the legal qualifications to fill said office, and that my
residence address is v
di te's Signature
Subscribed and sw • this day of t
X ca 09a• Notary Public in and for the State of Idaho
G
s PU��'� «�►�r�a residing at i�L i2�d(ar�
My Commission expires I2D
OFFICIAL USE ONLY
CITY CLERK
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 50402(c) and that the residence address provided above matches the ddress on the in Iduaf's vot
registration. &
This declaration was accepted l 2
/ e `�4 ,%d
Name, Title
t� C� Cl o,i 9 at V_ 53
Date 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.
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.