Declaration of Candidacy for City Council - Pike, Brad - 9/4/2019DECLARATION OF CANDIDACY
FOR CITY COUNCIL
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Candidate: Please print legibly your legal name
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Candidate: Please print legibly your name as you want it to appear on the ballot.
I, the undersigned, affirm that I am a qualified elector of the City of Eagle, State of Idaho, and that I have
resided in the City of Eagle for at least thirty (30) days.
I hereby declare myself to be a candidate for the office of City C,cil, for a term of four (4) years, to be
voted for at the election to be held : n the 5th d. of Nov r, 2019, and certify that I poss w
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qualifications to fill said offic - and th '•
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Notary Pu c for the State of Idaho
Residing at: G=GA 11.,, t
Oa - ' • ate's Signature
Subscribed and sworn to before me this
day
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OFFICIAL USE ONLY
CITY CLERK
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify the following.
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 individual's voter registration.
This declaration was accepted
on
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Date 6? ei at °PM
1 Time
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After the close of the candidate filing period, a copy of this form must be transmitted immediately to the
Ada 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.