HomeMy WebLinkAboutA008 - Affidavit of Candidacy - Sharon Wirth Form 2-M(Rev.95)[45.31
Prescribed by the
Iowa Secretary of State
STATE OF IOWA
AFFIDAVIT OF CANDIDACY
School and City Elections
For the office of
(Include district number,11 any)
❑ Check here if election is to fill a vacancy.
Date of Election: ILL-LE-1
Name (exactly as you want it to appear on the ballot):
!E;k(yYoC-\ A it 4-\-
Home Address: �o3 -1tx-►-r\,g '
City and Zip Code: rn�
County: S "
swear or affirm that the information I have provided above is correct. I am a candidate for the office indicated
above and request that my name be printed on the official ballot for this election. I am eligible to hold the office for which
am a candidate; if I am elected I will qualify by taking the oath of office. I know that I cannot hold a public office if I have
been convicted (and never pardoned) of a felony or other infamous crime.
know that I am required to organize a candidate's committee which shall file an organization statement and
n excess of five
disclosure reports if icoa calendar mmittee or y receive ear for the purbutions, make expenditures, or incur pose indebtedness
rpose of supporting my candidacy orpublic off ce I(This paragraph
hundred dollars ($500)0) Y
does not apply to candidates for federal offices.]
I know that I cannot be a candidate for more than one office to be filled at this election. If I have filed nomination
papers for more than one office I must file with the officer who accepted my nomination papers an affidavit indicating for
which office I choose to be a candidate. I understand that ii the affidavit is not filed by the last day candidates can file
nomination papers, I cannot be a candidate for any office on the ballot at this election. [This does not apply to county
agricultural extension council, soil and water conservation district commissioner, or regional library trustees.]
Signed: �� � �'- LAJ�" '
Signed and swom to (or affirmed) before me on �� ZZ /1 ? -7 (date) by
SH-zgRoAl K. U(//�Th' (print candidate's name).
Signature of Notary ublic(Oro er o authorized to witness oaths)
Official Title:
My commission expires:
IN
Form 59 M �, . .,.. w t. . „w. pas 0 .o (Rovitiod July 1990)
(Chapter 45,code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office ofil � 01-' -4Dea/S0�
I, the undersigned eligible elector of the State of Iowa, �:� , do hereby
I \' ', t (If applicable,district or other division)
nominate FAQ Ur1 Vti of _ P (\k�' Iowa,
(Name of candidate) (Address)
as a candidate of for the
1 (Name of nonparty political organization, if any)
office of F1 Y ���0 V C1 U ��-'Z��_C"c �� ; to be voted for
at an election to be held on N a� 19 q7
N A M E RESIDENCE (Add School District, if needed)
DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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Form 59 M t,.., . .., o r, o ssv (Rovisod July 1990)
(Chapter 45.code of Iowa)
STATE OF IOWA
Nomination Petition
For Nonpartisan' 'Nominations and Nonparty Political Organizations
For the office of V 1�5+ w � �` ���� ���
I, the undersigned eligible elector of the State of Iowa, Cam' do hereby
\n' (I applicable,district or other division)
nominate ��� y (- of .8-d3 -&u(�I� , Iowa,
(Name of candidate) (Address)
as a candidate of for the
(Name of nonparl`y political organization,if any)
office of t rs+ VU a r(d C- �� `` �� to be voted for
at an election to be held on
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
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