I, , the undersigned, hereby declare under penalty of election falsification that my voting residence is in the City of Gallipolis in the County of Gallia, Ohio; that my post-office address is (Street and Number), of the City of Gallipolis, Ohio; that I am a qualified elector in the precinct in which my voting residence is located and have been or will be a resident of the City of Gallipolis at least two years prior to the date of the election. I hereby declare that I desire to be a candidate for election to the office of City Commissioner in the City of Gallipolis at the primary election to be held on the day of , , and hereby request that my name be printed on the general primary election ballot as a candidate for City Commissioner as provided by law.
I further declare that I am an elector qualified to vote for the office I seek. Dated this day of , .
Signature of Candidate
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE.
NOMINATING PETITION
We, the undersigned, qualified electors of the State of Ohio, whose voting residence is in the City of Gallipolis, Gallia County, Ohio, set opposite our names, hereby nominate as a candidate for election to the office of Commissioner in the City of Gallipolis, and certify that his/her person is, in our opinion, well qualified to perform the duties of the office or position to which the person desires to be elected.
Signature Street Address City County Date Signed |
I, , declare under penalty of election falsification that I am a qualified elector of the State of Ohio and reside at the address appearing below my signature hereto; that I am the circulator of the foregoing petition paper containing signatures; that I witnessed the affixing of every signature; that all signers were to the best of my knowledge and belief qualified to sign; and that every signature is to the best of my knowledge and belief the signature of the person whose signature it purports to be.
(Signature of Circulator)
Address
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE.
Such statement of candidacy shall not be signed more than one hundred (100) days before the day of such primary election and such statement shall be filed with the election authorities not less than seventy-five (75) days prior to the day of such election.
(Amended 5-8-01.)