(a)The nomination paper shall be in substantially the following form:
nomination paper
I, the undersigned signer for ______ for the ____ Party nomination to the office of ____, to be voted for at the primary election to be held on the ____ day of ____, 20__, hereby assert as follows:
I am a resident of ____ County and registered to vote at the address shown on this paper and affiliated with the ____ Party. I am not at this time a signer of any other nomination paper of any other candidate for the above-named office, or in case there are several places to be filled in the above-named office, I have not signed more nomination papers than there are places to be filled in the above-named office. My residence is correctly set forth after my signature hereto:
(b)The affidavit of the circulator shall read as follows:
affidavit of the circulator
I, ______, solemnly swear (or affirm) that the signatures on this section of the nomination paper were obtained between _____, 20__, and _____, 20__; that I circulated the petition and I saw the signatures on this section of the nomination paper being written; and that, to the best of my information and belief, each signature is the genuine signature of the person whose name it purports to be.
My voting residence is ________.
Subscribed and sworn to before me this ______ day of ______, 20__.
| (SEAL) |
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| Notary Public (or other official) |
Examined and certified by me this _____ day of ______, 20__.
WARNING: Every person acting on behalf of a candidate is guilty of a misdemeanor who deliberately fails to file at the proper time and in the proper place any nomination paper in his or her possession which is entitled to be filed under Section 18202 of the Elections Code.