Declaration of Candidacy, City Council - Bastian, Stan - 9/3/20196i31..21
llECLAI2ATION 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.
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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 Council, for a term of four (4) years, to be
v oted for at the election to be held on the 5th day of November, 2019, and certify that I possess the legal
qualifications to fill said office, and the my residence ad cJ ess is
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abed aivak to before me this
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30 t day of A VjS t , 2019
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:
A7 The attached Petition of Candidacy signed by at least five qualified city electors with the
attached verification from the county clerk,
Notary Public for the State of Idaho
Residing at: 44
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 acceptedb.lt _G�Lt
Title
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Date
8 J-017
Time
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.