Declaration of Candidacy - City Council - Smith, Kurt - 9/8/2023 _ ;: ..a CITY OFFICE
` 4 CERTIFICATION OF CANDIDATE FILING TO COUNTY CLERK
.
CITY CLERK
Upon receipt of the Declaration of Candidacy along with the Petition of Candidacy
1.Verify the qualifications of the Candidate.
2.Verify that the Petition of Candidacy is signed by not less than 5 electors and has been certified by the County Clerk's Office.
a.If the Petition of Candidacy was not verified by the County Clerk prior to submission to your office, deliver the
original petition to the County Clerk's Election Office to have 5 electors verified that they are properly registered electors.
b.If the electors are required to be residents within city limits,verify that the electors reside within the correct city limits.
3.Stamp or write the date and time of receipt on the front of the Declaration of Candidacy and Petition of Candidacy.
4 Complete the fields and statement below.
5 Transmit a copy of this Certification along with a copy of the Declaration of Candidacy to the County Clerk for ballot preparation.
CANDIDATE NAME BEING CERTIFIED TO THE COUNTY CLERK
Candidate Name (As it will appear on the ballot.)
Kurt Smith
OFFICE INFORMATION FOR BALLOT PLACEMENT
Filing for the Office of: City Council
City Name: Eagle
Term-length,seat or position
(if applicable): 4 year term
CERTIFICATION
1, Tracy E. Osborn .certify that the qualifications of the candidate listed above have been verified,including the validity
of the electors signing the Petition of Candidacy,and that the individual meets the requirements to run for the office indicated above and on the attached
Declaration of Candidacy to be voted on at the Election to be held on the 7th day of November 2023.
Slgru - of the Clerk k or Flepreswntathve of trio District' Dated:
. 6:190.1___.
111•dif VedgeM3
IMPORTANT
1-Verification of the candidate's qualifications and the validity of the signers of the petition should occur immediately upon receipt of the
filing.This allows the candidate time to correct any errors in the filing.
2.Certification to the County Clerk should occur upon the verification of the candidate's qualifications and the validation of the signers of
the petition.To assist the County Clerk in ballot preparation,do not HOLD these until the last day of filing.
Re.sed 72/15/202
RECEIVED&FILED f
- CITY OFFICE CITY 0I=EAGLE
'f}�' _ -P _`' DECLARATION OF CANDIDACY SEP 0 8 2023
',,, ` 'F','. Idaho Code 34-701(2) now requires phone numbers to be provided Idaho Code 34-704(4) st l : 14- u 32
1-_- .-,r that all information in declarations of candidacy shall be made publicly available IDD?reQueS. Route tr. ` — �'
CANDIDATE FILING PERIOD (Lc 50-410) OFFICE INFORMATION
Opens:August 28, 2023 (8:00 am) Filing for the Office of: , ;-f i L c o v C t L -
Closes September 8. 2023 (5:00 pm) City Name: i
CANDIDATE WITHDRAWAL.DEADLINES (IC 34-1405A) Term length, sub-district,
zone, seat or position: LI '
September 22, 2023 (5.00 pm) (if applicable)
iCANDIDATE INFORMATION
I,Candidate Name(As it appears on your voter rep istfption record.) ( Candidate Phone
First 1 Nil I Last Suffix
K-r ; 13 5.1v, 11 Z S9 / CJ
Residence Address(As it appears on your voter recrstration record.)
Street Address City State Zip Code County
2502 vNI in NI 0 12- ia �. f GI LE. ifl ;3 (.0i (o is:A
BALLOT NAME - --
Write your name exactly as you would like it to appear on the ballot
HOMESTEAD EXEMPTION (Lc 34-107f2)-34-701(31) . ^Z-
�v.r
Have you, or your spouse, claimed a homestead exemption? G yes ANo'
If Yes, Please List the Address
Street Address City State Zip Code I County
CAMPAIGN FINANCE INFORMATION
1 do hereby certify that I am a registered elector of the State of Idaho and appoint myself as treasurer for my campaign. If any campaign
finance contributions or expenditures reach or exceed $500, I will create a Campaign Finance account with the Secretary of State, and may
ar that time, appoint another person as Treasurer or remain as my own Treasurer
CERTIFICATION
I,the undersigned,being a resident of the State of Idaho and of the city listed above.do hereby declare myself a candidate for the office entered
above to be voted on at the Election to be held on the 7 day of ri',Ci/�/1.4 I i�2_— 2023 and I certify that the information on this Declaration is
/rue and accurate.
I further certify that I possess the legal qualifications to hold said office I submit herewith the f ling fee of(S40 00).or in lieu of the filing fee the
nominating petition containing the five(5)signatures of qualified electors as statutorily required.
Dated: Candidate Signature: �/
cf - 8 2 a? - -i 5,-:mac-. - -
49 4-- QQ _
Subscribed and sworn to before me this day of x h_ - _. C 3 ,tl■r,MJria,
Signature: OT ( �*
ti
Notary Public in and for the State of Idaho. residing at ;, + ;]
1 i1/4-.. ........91:13; z
My Commission Expires: >it Z I2
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EC-3A-Declaration at Candidacy for Cry Offices-Approved by tre Idaho Secretary of State ReS sew�,.,-2Q2,