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)
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
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.
CITY, VILLAGE, OR