Partisan Nomination Petition Form
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1
2Partisan Nomination Petition
I, the undersigned, a qualified elector of the county of ______________________, state of Arizona, and of (here name political division or
Put optional photo
district from which the nomination is sought)_________________________ and a member of the _____________________ party or a
here
person who is registered as no party preference or independent as the party preference or who is registered with a political party that is
not
qualified
for
representation
on
the
ballot,
hereby
nominate
___________________________
who
resides
at
________________________________ in the county of ____________________ for the party nomination for the office of
_________________________ to be voted at the primary election to be held ______________________ as representing the principles
of such party, and I hereby declare that I am qualified to vote for this office and that I have not signed, and will not sign, any nomination
petition for more persons than the number of candidates necessary to fill such office at the next ensuing election. I further declare that if I
choose to use a post office box address on this petition, my residence address has not changed since I last reported it to the county
recorder for purposes of updating my voter registration file.
Signature
Printed name
Actual residence address, description of place of residence or
Date of
Arizona post office box address, city or town
signing
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Secretary of State, Revised 7/17/2012
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