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HomeMy WebLinkAbout140818 - Candidate Application - Linda HarvellAW2-20, 7/2011 Prescribed by Secretary of State Sections 141.031, Chapter 144, Texas Election Code All information is required to be provided unless indicated as optional. APPLICATION FOR A PLACE ON THE COL L(.f.; 5'r`6(GENERA L ELECTION BALLOT TO: Secretary of Board I request that my name be placed on the above-named official ballot as a candidate for the office indicated below. INDICATE TERM FULL n UNEXPIRED OFFICE SOUGHT Include any place number or other distinguishing number, if any. CO I - Li S -1-11T1 otJ FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT N DYa I-1 A'2Ji-LL L.iNDg picl-EVg.L1 PERMANENT RESIDENCE ADDRESS (Street address and apartment number. If none, describe location of residence. Do not include P.O. Box or Rural Rt.) STATE MAILING ADDRESS (If different from residence address) CITY STATE ZIP EMAIL ADDRESS (Optional) OCCUPATION (Do not leave blank) Length of Continuous Residence as of Date Application Sworn IN STATE yr(s) 1 mos IN CITY 1 yr(s) mos IN DISTRICT OR PRECINCT 1 yr(s) mos If using a nickname as part of your name to appear on the ballot you are also signing and swearing to the fo lowing statements: I swear that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or affiliation. I have been comn¢only known by this nickname for at least three d am s Irrior to t i election Y uponsays:( ) p ' d (name) " )' who beingbymeBefore and nowe dulysworn, authority, ydayI personally ° County,being undersignedtY I r r". Texas, a candidate for the office of e. P , swear P float I will support and defend the Constitution and laws of the United States an( of the :StatVof Texas. I am a ci ircn of the tinfied States eligible to hold such office under the Constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other official action. I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code. I further swear that the foregoing statements included in my application are in all things true and correct." TANYA MCNUTT Notary PubHe, State of Texas My Commission Expires FEBRUARY 14, 2018 SI day of SEAL ministering oath TO BE COMPLETED BY SECRETARY OF BOARD: See Section 1.007) Date Received 5 ignt'Secretary