HomeMy WebLinkAbout160725 - Candidate Application - Karl P. MooneyTO: OtySecretary/Secretaryof Board
2-21
PrescribedbySecretaryofStite
Section141.031. Clllptl!rs143 and144, Texas EJectlonCode
12/2015
I requestthatmv name beplaced on the above-named officialballotas a candidate fortheofficeIndicatedbelow.
OFFICESOUGHT (Includeany placenumberor otherdistinguishingnumber, Ifany.) INDICATETERM
LL
DuNEXPtRED
PERMA NTRESIDENCE ADDRESS (Donotindude a P.O. Bo or Rural
Route. If you do nothave a residence address, describe tt\e address
at which you receive personalmail andlocationofresidence.)
.
Of C NTINUOUSRES1DENC£ AS OFDATE APPLICATION SWORN . TE IN TE ORY ElECTED FROM
year (s} year (s)
month(s) month(s)
idcnameas pa of your name to appear on the ballot, youare also signing andswearingto thefoll Ing statements: I furtherswear
that my nickname doesnot amstltute a slogan nor does It indicate a politlcal, economic, social, or religious view or affiliation. I have been
commonlyknownby this nicknameforat leastth.!.Ye _a_r_s ..... r_io _r_t o_th_fs_e_le_ctio __ n. __ -.-----:=---.,,.-
Beforeme, theundersignedauthority, onthisday personallyappeared (name)_,_fl?f.':1-ilf--#-.,,_F.;.-----' who beingbyme
here and nowduly sworn, uponoath says:
f-.,.=.L.-lj.___.,____,__.,....,,1:.-1-:r->",-...--·· =r;j Td .Z ?>? n, Texas, being a
U:.':.-J J-:;;._,,,,!:..p.H»f.u that I wtll supportand defendthe Constitution and laws
of theUnitedStatesand oftheStateof xas. l am a citize f theUnitedStatesellglbleto hold such office undertheconstitution and laws of
thisstate. I have not been finallyconvictedofa felonyfor which I have ootbeenpardonedor had myfullrightsof citizenship restoredbyother
official action. I have not been determinedby a final judgment of a court exercising probatejurisdiction to betotallymentally Incapacitated or
partiallymentallyincapacitated without the rightto vote. I am aware ofthenepotismlaw, Chapter573, GovernmentCode.
I furtherswear that the foregoing statements included in my application are In all thi
Q,; Seu s1gnatUfeOfOffi(irTlilliStering Oath2 Titleof Officer Administer ing oath
TO BE COMPLETED BY CflYSECRETARY OR SECRETAJ!Y OF BOARD:
See Section 1.007) 'J ., S"'-1G,
Date Received
Voter Registration Status Verified