140818 - 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