Form Cc-2 - Affidavit To Voluntarily Agree With Campaign Expenditure Limits printable pdf download

Form Cc-2 - Affidavit To Voluntarily Agree With Campaign Expenditure Limits

STATE OF HAWAII

CAMPAIGN SPENDING COMMISSION

AFFIDAVIT TO VOLUNTARILY AGREE

WITH CAMPAIGN EXPENDITURE LIMITS

, being first duly sworn, on oath deposes and says:

Candidate Name

1. That (s)he is the affiant herein;

2. That affiant is a candidate running for the Office of

District/County

;

(if applicable)

3. That affiant voluntarily agrees to comply with the expenditure limit set for this respective office as follows:

(OHA candidates skip to line 3(b). All other candidates please see the back of this form to complete line 3(a).)

(a) The expenditure limit is $

for each election. The expenditure limit

period for the Primary/1

Special Election is from January 1, 2012 through August 11, 2012, and the

General/2

Special Election period is from August 12, 2012 through November 6, 2012;

(b) That affiant voluntarily agrees to comply with the expenditure limit set for the Office of Hawaiian

Affairs (OHA). The expenditure limit is $121,106 beginning from January 1, 2012 through

November 6, 2012, for the General Election;

4. That affiant has read the affidavit and knows the contents thereof;

5. That the said affidavit is true to the best of affiant’s knowledge and belief.

Candidate Signature

Date

Subscribed and sworn to before me

This

day of

, 20

Doc. Date:

# Pages:

Name:

First Circuit

Doc. Name:

Notary Public, State of Hawaii

My commission expires:

Notary Signature

Date

Form CC-2 (Rev. 01/11)

Form Cc-2 - Affidavit To Voluntarily Agree With Campaign Expenditure Limits