Candidate Affidavit
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1
2Space Below For Office Use Only
Return to:
Beth A. Hedberg, MMC
City Clerk
City of Edgewater
2401 Sheridan Boulevard
Edgewater, CO 80214
720-763-3002
Fax: 303-238-7192
CANDIDATE AFFIDAVIT
[Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.]
State, County, School District, and Special District Candidates file with the Secretary of State
Municipal Candidates file with the Municipal Clerk
This affidavit certifies that I, ___________________________________________________, a member of the
(
*)
Name
_____________________________________________political party/organization (if applicable), am a candidate
(
*)
Political Party
for the
election,
for the office of _____________________________,
[Art. XXVIII, Sec. 2(2)]
(
*)
(
*)
Year
Office
District ________________________________ (if applicable), County
(if applicable).
(
*)
(
*)
District
County
I understand that campaign finance activities in Colorado are governed by Article XXVIII of the Colorado
Constitution, Article 45, Title 1 of the Colorado Revised Statutes (C.R.S.) (also known as the Fair Campaign
Practices Act (FCPA)), and the Secretary of State’s Rules Concerning Campaign and Political Finance.
I further certify that I am familiar with the provisions of the Colorado Fair Campaign Practices Act (FCPA) as
required in §1-45-110 of the Colorado Revised Statutes.
Signature of Candidate*
Date*:
Physical Address of Candidate*:
(Street/City/St/Zip*)
Mailing address:
Business Phone: ________________________ Residence Phone*:
Fax:
Web Address:
E-Mail Address*:
Fields marked with * are required unless they do not apply to the race for which you are submitting this affidavit. The notary section below must be completed in full.
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)
___________________________________________
(Notary/Official Signature)
___________________________________________
(Commission Expires)
Form: CPF 1
Revised 08/2011
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