Form 2-C - Declaration Of Candidacy - Party Primary Election

Form No. 2-C Prescribed by Secretary of State (06-10)

DECLARATION OF CANDIDACY

PARTY PRIMARY ELECTION

For United States Senator

To be filed with the Secretary of State not later than 4 p.m. of the 90

day before the primary election.

Revised Code 3513.05, .07, .08, .09, .10, .191, 3501.38

NOTE – THE CANDIDATE MUST FILL IN, SIGN AND DATE THE STATEMENT OF CANDIDACY

BEFORE PETITIONS ARE CIRCULATED.

I, ____________________________________, the undersigned, hereby declare under penalty of

(Name of Candidate)

election falsification that my residence address is______________________________________,

(Street and Number, if any, or Rural Route Number)

_____________________________________, Ohio ____________.

(City or Village)

(Zip Code)

I further declare that I desire to be a candidate for nomination to the office of United States Senator

as a member of the ______________________________ Party for the:

full term or

(check one)

unexpired term ending _____________________, at the primary election to be held on the ______

(Fill in the appropriate date)

day of _________________________, ____________.

I further declare that, if elected to this office or position, I will qualify therefor, and that 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 should be of persons who are of the same political party as stated above by the candidate.

VOTING RESIDENCE

CITY, VILLAGE, OR

DATE OF

SIGNATURE

ADDRESS STREET

COUNTY

TOWNSHIP

SIGNING

AND NUMBER

Form 2-C - Declaration Of Candidacy - Party Primary Election - 2010

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