Form No. 2-I Prescribed by Secretary of State (11-10)
DECLARATION OF CANDIDACY
PARTY PRIMARY ELECTION
For Elective Offices of Cities or Villages
To be filed with the Board of Elections not later than 4 p.m.
of the 90
day before the day of the primary election.
Revised Code 3513.05, .07, .09, .10, 3501.38
NOTE – THE CANDIDATE MUST FILL IN, SIGN AND DATE THIS DECLARATION
BEFORE PETITIONS ARE CIRCULATED.
I, ________________________________________, the undersigned, hereby declare under penalty of
(Name of Candidate)
election falsification that my voting residence address is ____________________________________,
(Street and Number, if any, or Rural Route Number)
________________________________, Ohio _____________, and I am a qualified elector.
(City or Village)
I further declare that I desire to be a candidate for nomination to the office of ____________________
_______________________ in the municipality of _________________________, as a member of the
____________________ Party for the:
full term, or
unexpired term ending
(check one box)
_____________________________, at the primary election to be held on the ___________ day of
(Fill in the appropriate term ending date)
I further declare that, if elected to this office or position, I will qualify therefor, and I will support and
abide by the principles enunciated by the ________________________ Party.
Dated this ______ day of _______________________, _________.
(Signature of Candidate)
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
PETITION FOR CANDIDATE
(This petition shall be circulated only by a member of the same political party as stated above by the candidate)
We, the undersigned qualified electors of the State of Ohio, whose voting residence is in the county,
city, village, or township, set opposite our names, and members of the ____________________ Party,
hereby certify that ___________________________________, whose declaration of candidacy is filed
(Name of Candidate)
herewith, is in our opinion, well qualified to perform the duties of the office or position to which the
person desires to be elected.
Signatures on this petition should be from only one county and must be written in ink. Signatures on this
petition shall be of persons who are of the same political party as stated above by the candidate.
CITY, VILLAGE, OR
ADDRESS STREET AND