Form 2-Fj - Declaration Of Candidacy - Party Primary District Office - 2010

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Form No. 2-FJ Prescribed by Secretary of State (06-10)
DECLARATION OF CANDIDACY
PARTY PRIMARY ELECTION FOR DISTRICT OFFICE
Judge of the Court of Appeals
To be filed with the Board of Elections of the most populous county or part county of the district
th
not later than 4 p.m. of the 90
day before the day of the primary election.
Revised Code 3513.05, .07, .08, .09, .10, .191, 3501.38
NOTE – THE CANDIDATE MUST FILL IN, SIGN AND DATE THIS DECLARATION
BEFORE PETITIONS ARE CIRCULATED.
I, __________________________________________, the undersigned, hereby declare under penalty
(Name of Candidate)
of 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)
(Zip Code)
I hereby declare that I desire to be a candidate for nomination to the office of Judge of the Court of
Appeals as a member of the ________________________ Party from the___________District for the:
(Number of District)
full term commencing _________________________ , or
(check one box and fill in the appropriate date)
unexpired term ending ___________________________, at the primary election to be held on the
_________________________________,__________.
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.
VOTING RESIDENCE
CITY, VILLAGE,
DATE OF
SIGNATURE
ADDRESS STREET AND
COUNTY
OR TOWNSHIP
SIGNING
NUMBER
1.
2.
3.
4.
5.
6.

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