"Candidate Acceptance of Petition Nomination - State Representative" - Colorado

Candidate Acceptance of Petition Nomination - State Representative is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on May 8, 2015;
  • The latest edition currently provided by the Colorado Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

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Download "Candidate Acceptance of Petition Nomination - State Representative" - Colorado

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Candidate Acceptance of Petition Nomination
Office Use Only:
State Representative
Complete, sign, attach to the petition, and file with the Colorado Secretary of State. Please type
or print legibly.
Office Information
State Representative, District #
Qualifications for Office (You must check each box to affirm that you meet the qualifications for this office)
A
t least 25 years old
Resident of the District for at least 12 months prior to the Election
U.S. citizen
Candidate Information
Full Legal Name
Name
exactly as it will appear on the official ballot
Residence & Mailing Address
Residence Street Address
City
State
Zip Code
Mailing Street Address
City
State
Zip Code
Telephone & E-mail Address
Business Phone #
Extension
Residence Phone #
E-mail Address
Campaign Website (optional)
Website
Voter Registration Information
Year of Birth
County of Registration
Party Affiliation
Date of Affiliation
Signature
Applicant's Affirmation
I accept the nomination and solemnly affirm that I meet all qualifications for the office prescribed by law. Furthermore, the information provided on this
form is, to the best of my knowledge, true and correct.
[seal]
______________________________________________
__________________
Signature of Candidate
Date of Signing
STATE OF COLORADO
COUNTY OF
___________________
Subscribed and sworn to before me this ________ day of _______________________, 20_____ by ____________________________________________________ .
Day
Month
Year
Printed name of Candidate Above
Signature (and Title) of Notary / Official Administering Oath ____________________________________________________________________________________
My Commission Expires: ___________________
Colorado Secretary of State
1700 Broadway, Suite 200
Denver, Colorado 80290
Phone: (303) 894-2200
F
ax: (303) 869-4861
SOS Revised May 8, 2015
Print Form
Email: ballot.access@sos.state.co.us
Section 1-4-906, C.R.S.
Candidate Acceptance of Petition Nomination
Office Use Only:
State Representative
Complete, sign, attach to the petition, and file with the Colorado Secretary of State. Please type
or print legibly.
Office Information
State Representative, District #
Qualifications for Office (You must check each box to affirm that you meet the qualifications for this office)
A
t least 25 years old
Resident of the District for at least 12 months prior to the Election
U.S. citizen
Candidate Information
Full Legal Name
Name
exactly as it will appear on the official ballot
Residence & Mailing Address
Residence Street Address
City
State
Zip Code
Mailing Street Address
City
State
Zip Code
Telephone & E-mail Address
Business Phone #
Extension
Residence Phone #
E-mail Address
Campaign Website (optional)
Website
Voter Registration Information
Year of Birth
County of Registration
Party Affiliation
Date of Affiliation
Signature
Applicant's Affirmation
I accept the nomination and solemnly affirm that I meet all qualifications for the office prescribed by law. Furthermore, the information provided on this
form is, to the best of my knowledge, true and correct.
[seal]
______________________________________________
__________________
Signature of Candidate
Date of Signing
STATE OF COLORADO
COUNTY OF
___________________
Subscribed and sworn to before me this ________ day of _______________________, 20_____ by ____________________________________________________ .
Day
Month
Year
Printed name of Candidate Above
Signature (and Title) of Notary / Official Administering Oath ____________________________________________________________________________________
My Commission Expires: ___________________
Colorado Secretary of State
1700 Broadway, Suite 200
Denver, Colorado 80290
Phone: (303) 894-2200
F
ax: (303) 869-4861
SOS Revised May 8, 2015
Print Form
Email: ballot.access@sos.state.co.us
Section 1-4-906, C.R.S.