HomeMy WebLinkAbout190722 - Candidate Application - John L. CromptonRECEIVED
ALL INFORMATION IS REQUIRED TO BE PROVIDE
2·2 1
Prescribed by Secretary of State
Sec tion 141.03 1, Chapters 143 and 144, Texas Ele c tion Code
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APPLICATION FOR A PLACE ON THE __ ___;:;___ ___ __.;.._o_u_n_c_1 __ GENERAL ELECTION BALLOT
TO: City Secretary/Secretary of Board
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT (Include any place number or other distinguishing number, if any.) INDICATE TERM
Place 2 IKJFULL
DuNEXPIRED
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT 1
John Leslie Crompton John L. Crompton
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural PUBLIC MAILING ADDRESS (Campaign mailing address, if available .)
Route. If you do not have a residence address, describe the address
at which you receive personal mail and location of residence .)
CITY STATE ZIP CITY
College Station TX 77845 College Station
PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leave blank) DATE OF BIRTH
STATE ZIP
TX 77845
VOTER REGISTRATION VUID
NUMBER (Optional) 2
TELEPHONE CONTACT INFORMATION (Optional)
Home : (
N/A
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED 3
_45_ year (s) ~year (s)
__ month(s) __ month(s)
If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further 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
commonly known by this nickname for at least three years prior to this election.
Before me, the undersigned authority, on this day personally appeared (name) __ J_o_h_n_L_. _C_r_o_m~p_t_o_n ______ , who being by me
here and now duly sworn, upon oath says: PJ a..c~ 2 .
"I, (name) Brazos County, Texas, being a
candidate for the office of swear that I will support and defend the Constitution and laws
qf the United States and of the State of Texas . I am a citizen of the Un 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.