Candidate Affidavit - Colorado Secretary Of State
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1Colorado Secretary of State
1560 Broadway, Suite 200
Denver, CO 80202
(303) 894-2680
(303) 894-7732 Fax
CANDIDATE AFFIDAVIT
[CRS 1-45-103 (1.5) & CRS 1-45-110(1)]
Ø State Candidates File with the Secretary of State
Ø County Candidates File with the County Clerk
Ø School District Candidates File with the County Clerk
Ø Municipal Candidates File with the Municipal Clerk
Ø If the Special District is contained within a single county, file with that County Clerk
Ø If the Special District boundaries overlap more than one county, file with the Secretary of State
This affidavit shall certify that I, ____________________________________________, a member of the
______________________________________political party/organization (if applicable), am a candidate for
election/retention
for the office of ________________________________________,
[pursuant to CRS 1-45-103(1.5)]
District #_______________________________________
.
(if applicable)
I further certify that I am familiar with the provisions of the Colorado Fair Campaign Practices (FCPA) as
required in §1-45-110 of the Colorado Revised Statutes.
Signature of Candidate ____________________________________________ Date __________________
Address of Candidate ____________________________________________________________________
E-Mail Address
_______________________ Web Site Address
_____________________
(optional)
(optional)
STATE OF COLORADO
COUNTY OF ___________________________
Before me, ______________________________, a notary/officer duly authorized to administer oaths, in and
for said State, personally appeared _______________________________________, whose name is subscribed
to the foregoing Candidate Affidavit, and who affirms, that said statements are true and that he/she
acknowledges the execution of said instrument to be of their own free act and voluntary deed for the uses and
purposes therein set forth.
Subscribed and affirmed to before me this ________ day of ________________________, 20_______
(Seal)
Signature of Notary/Official
My Commission Expires: _____________________________
Colorado Secretary of State Form Rev: May 2000
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