HomeMy WebLinkAbout240724 -- Application for Place on Ballot -- Aron Collins2-49
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2023
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL' Failure to provide required information may result in rejection of application.
APPLICATION FOR A PLACE ON THE NOV. D,ZUZ4 Coiiege Station City GENERAL ELECTION BALLOT
TO: City Secretary/Secretary of Board (name of election)
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.)
City Council Place 4
FULL NAME (First, Middle, Last)
Aron, Walker, Collins
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If
you do not have a residence address, describe location of residence.)
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN
IN THE STATE OF TEXAS IN TERRITORY/DISTRICT/PRECINCT FROM
WHICH THE OFFICE4SpUGHT IS ELECTED
49 year(s) I I year(s)
0 month(s)
8 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 or contain a title, 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. Please review sections 52.031, 52.032 and 52.033 of the Texas
Election Code regarding the rules for how names may be listed on the official ballot.
Before me, the undersigned authority, on this day personally appeared (name of candidate) Aron W. Collins
being by me here and now duly sworn, upon oath says:
"I, (name of candidate) Aron W. Collins of Brazos County, Texas,
being a candidate for the office of College Station City Council Place 4 . 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 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 am aware that I must disclose
any prior felony conviction, and if so convicted, must provide proof that I have been pardoned or otherwise released from the resulting disabilities of
any such final felony conviction. I am aware that knowingly providing false information on the application regarding my possible felony conviction
status constitutes a Class B misdemeanor. I further swear that the foregoing statements included in my application are in all things true and correct."
x 64, (A), mA
SIGNATURE OF CANDIDATE
Sworn to and subscribed before me this the g�� day of -3(A ta, . e�-C7a4 , by 71 Cc) n ti..tk... QC01 4h_S
(day) (month) (year) (name of candidate)
Signature of Officer Authorized to Administer Oath4
1The.cx-k� C',t'A4 SC.c,re4v►*1
Title of officer uthorizedlo Administer Oath(
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY
Prints T
'WHiTTENTON
Notay Public
STATE OF TEXAS
ID#i 12946552-2
RECEIVED
JUL 24 2024Q
. who
er Oath
r' ?• .r : . •1i'F14o1I ' bIo PAID BY:
❑ CASH El CHECK ❑ MONEY ORDER ❑ CASHIERS CHECK OR 0 PETITION IN LIEU OF A FILING FEE
This document and $ 0 filing fee or/a nominatinginpetition of pages received.
b7 i "J/ 2 e 7 / zY / 21,2[7 (See Section 1.007)
Voter Registration Status Verified
L v
Sign Lure q�tiling Officer or Designee
Date Received Date Accepted
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