Form CFFN022 "Unaffiliated Candidate Declaration" - Delaware

Form CFFN022 or the "Unaffiliated Candidate Declaration" is a form issued by the Delaware Department of Elections.

The form was last revised in August 4, 2013 and is available for digital filing. Download an up-to-date Form CFFN022 in PDF-format down below or look it up on the Delaware Department of Elections Forms website.

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Download Form CFFN022 "Unaffiliated Candidate Declaration" - Delaware

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Cam
mpaign Fina
ance Section
n
U
Unaffiliated
Candidate
Declaration
n
With
h this Unaffi
liated Candi
idate Declara
ation, I, ____
___________
___________
__________
___________
__________
_
TYPE O
OR PRINT CANDIDAT
TE’S FULL LEGAL NAM
ME
resid
ding at _____
__________
___________
__________
___________
__________
___________
__________
___________
_
TYPE COMPLETE
PHYSICAL ADDRESS
S
hereb
by declare, p
pursuant to T
Title 15, Sec
ction 3002 of
f the Delawa
are Code, tha
at I am an un
naffiliated ca
andidate in
the S
State of Dela
aware for the
e office of __
__________
___________
__________
___________
__________
__________.
TITLE O
OF OFFICE AND DIST
TRICT NUMBER
Furth
her, I hereby
y affirm that
I have not b
been affiliate
ed with any p
political part
ty that qualif
fied as a pol
itical party
in th
he State of D
elaware for
at least three
e months pri
ior to the fili
ing of this de
eclaration.
CANDID
DATE SIGNATURE
DATE
________
____________________
____________________
____________________
____________
ACCOUN
NT NUMBER
Swo
rn to and sub
bscribed bef
fore me this
__________
____ day of
__________
__________
, 20__.
SIGNAT
TURE OF NOTARY PU
UBLIC
Page 1 of 1
CFFN
N022 V1.0 2013/8/
/4
Cam
mpaign Fina
ance Section
n
U
Unaffiliated
Candidate
Declaration
n
With
h this Unaffi
liated Candi
idate Declara
ation, I, ____
___________
___________
__________
___________
__________
_
TYPE O
OR PRINT CANDIDAT
TE’S FULL LEGAL NAM
ME
resid
ding at _____
__________
___________
__________
___________
__________
___________
__________
___________
_
TYPE COMPLETE
PHYSICAL ADDRESS
S
hereb
by declare, p
pursuant to T
Title 15, Sec
ction 3002 of
f the Delawa
are Code, tha
at I am an un
naffiliated ca
andidate in
the S
State of Dela
aware for the
e office of __
__________
___________
__________
___________
__________
__________.
TITLE O
OF OFFICE AND DIST
TRICT NUMBER
Furth
her, I hereby
y affirm that
I have not b
been affiliate
ed with any p
political part
ty that qualif
fied as a pol
itical party
in th
he State of D
elaware for
at least three
e months pri
ior to the fili
ing of this de
eclaration.
CANDID
DATE SIGNATURE
DATE
________
____________________
____________________
____________________
____________
ACCOUN
NT NUMBER
Swo
rn to and sub
bscribed bef
fore me this
__________
____ day of
__________
__________
, 20__.
SIGNAT
TURE OF NOTARY PU
UBLIC
Page 1 of 1
CFFN
N022 V1.0 2013/8/
/4
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