Form 13 "Declaration of Intent to Be a Write-In Candidate (All Office Except Any Federal Office and Governor and Lieutenant Governor)" - Ohio

What Is Form 13?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 13 by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 13 "Declaration of Intent to Be a Write-In Candidate (All Office Except Any Federal Office and Governor and Lieutenant Governor)" - Ohio

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Form No. 13 Prescribed by Secretary of State (09-17)
Declaration of Intent to be a Write-In Candidate
print clearly
All Office Except any Federal Office and Governor and Lieutenant Governor
Revised Code 3513.041
To be completed, signed by the candidate named herein, and filed with the appropriate county board of elections or, if the office is
to be voted on statewide, the Secretary of State’s Elections Division, not later than 4 p.m. of the 72nd day before the primary or
general election, whichever is appropriate.
Filing must be accompanied by the fees indicated in R.C. 3513.10.
, the undersigned, declare under penalty of election falsification that my qualifying
I,
Name of Candidate
voting residence address is
,
, Ohio
.
City or Village
Zip Code
Street Number and Address,
(or Rural Route and Number)
I possess the necessary qualifications to be a candidate for the office of
for:
Full Term commencing
(Check one box and fill in the appropriate date)
,
.
or
unexpired term
ending
, in the
(Identify the State, district, county, etc. of the office)
I declare that I am an elector qualified to vote for the office I seek. I desire to be a write-in candidate for
(complete one of the following three options):
Nomination of the
Party at the primary election to be held
(Name of Political Party)
on the
day of
,
.
(Year)
(Month)
Election at the general election to be held on the
day of
,
.
(Month)
(Year)
Election to the office of member of county central committee of the
Party
(Name of Political Party)
at the primary election to be held on
day of
,
.
(Month)
(Year)
X
(Signature of Candidate)
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Form No. 13 Prescribed by Secretary of State (09-17)
Declaration of Intent to be a Write-In Candidate
print clearly
All Office Except any Federal Office and Governor and Lieutenant Governor
Revised Code 3513.041
To be completed, signed by the candidate named herein, and filed with the appropriate county board of elections or, if the office is
to be voted on statewide, the Secretary of State’s Elections Division, not later than 4 p.m. of the 72nd day before the primary or
general election, whichever is appropriate.
Filing must be accompanied by the fees indicated in R.C. 3513.10.
, the undersigned, declare under penalty of election falsification that my qualifying
I,
Name of Candidate
voting residence address is
,
, Ohio
.
City or Village
Zip Code
Street Number and Address,
(or Rural Route and Number)
I possess the necessary qualifications to be a candidate for the office of
for:
Full Term commencing
(Check one box and fill in the appropriate date)
,
.
or
unexpired term
ending
, in the
(Identify the State, district, county, etc. of the office)
I declare that I am an elector qualified to vote for the office I seek. I desire to be a write-in candidate for
(complete one of the following three options):
Nomination of the
Party at the primary election to be held
(Name of Political Party)
on the
day of
,
.
(Year)
(Month)
Election at the general election to be held on the
day of
,
.
(Month)
(Year)
Election to the office of member of county central committee of the
Party
(Name of Political Party)
at the primary election to be held on
day of
,
.
(Month)
(Year)
X
(Signature of Candidate)
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE