HomeMy WebLinkAbout200720 - Candidate Application Amended - Dell SeiterRECEIVED
JUL 2 0 2021) 2-21
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE _c_o1_1eg_e_s_tat_io_n._r_ex_as __________ 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
College Station City Council -Place 3 121 FULL
DuNEXPIRED
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT 1
Dell Seiter Dell Seiter
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 .)
4904 Williams Ridge CT PO Box 11466
CITY STATE ZIP CITY STATE ZIP
College Station TX 77845 College Station TX 77842
PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leav e blank) DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER (Optional) 2
dell@12thmortgage.com Mortgage Banker 1041503393
TELEPHONE CONTACT INFORMATION (Optional)
Home :
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
IN STATE
Work:
!!_____year (s)
Cell: 979-229-6463 _2 __ month(s)
IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED 3
_1 __ year (s)
_3 __ 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 slog an 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) __ D_el_I s_e_ite_r ___________ _, who being by me
here and now duly sworn, upon oath sa ys:
"I, (name) Dell Seiter of Brazos County, Texas, being a
candidate for the office of College Station City Council -Place 3 swear that I will support and defend the Constitution and laws
of the United States and of the State of Texas. I am a citizen of the United States eligible to hold such office under the constitution and laws of
this state. I have nol l.Jeeri rimilly wnvicted of a f elony for which I have not been pardoned or hud my full rights of citizenship rc!;tored 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."
x
Sworn to and subscribed before me at--·=-~--'~"'"'· D"'-'lp--'rn'----
TO BE COMPLETED BY CITY SECRETARY OR SECRETARY OF BOARD:
(See Section 1.007) 0 7-c:J. /) -;J.O
Voter Registration Status Verified ~ Date Received