Form 3-AA "Nominating Petition for Delegates to a Convention to Ratify or Reject Amendment to the Constitution of the United States" - Ohio

Form 3-AA is a Ohio Secretary of State form also known as the "Nominating Petition For Delegates To A Convention To Ratify Or Reject Amendment To The Constitution Of The United States". The latest edition of the form was released in September 1, 2017 and is available for digital filing.

Download a PDF version of the Form 3-AA down below or find it on Ohio Secretary of State Forms website.

ADVERTISEMENT

Download Form 3-AA "Nominating Petition for Delegates to a Convention to Ratify or Reject Amendment to the Constitution of the United States" - Ohio

1177 times
Rate
(4.4 / 5) 82 votes
Form No. 3-AA Prescribed by the Ohio Secretary of State (09-17)
Nominating Petition
Delegates to a Convention to Ratify or Reject Amendment to the Constitution of the United States
To be filed with the Secretary of State not less than 30 days before the date of the election.
R.C. 3523.04
Statement of Candidacy for President
We, the undersigned, hereby declare under penalty of election falsification that our residence addresses are set opposite
our names and that we are citizens of the United States and residents of the State of Ohio and are at least 18 years of
age. We further declare that we desire to be candidates for delegates to a Convention called for the purpose of ratifying
or rejecting a proposed amendment to the Constitution of the United States, such convention to convene on the 28
th
day
following the date of the election at which such delegates are elected.
Favor ratification
Oppose ratification
Will remain unpledged
We further declare that we:
(Choose only one)
Address
Signature of Candidate
Printed Name of Candidate
Date Signed
(Street, City/Village, Zip)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Form No. 3-AA Prescribed by the Ohio Secretary of State (09-17)
Nominating Petition
Delegates to a Convention to Ratify or Reject Amendment to the Constitution of the United States
To be filed with the Secretary of State not less than 30 days before the date of the election.
R.C. 3523.04
Statement of Candidacy for President
We, the undersigned, hereby declare under penalty of election falsification that our residence addresses are set opposite
our names and that we are citizens of the United States and residents of the State of Ohio and are at least 18 years of
age. We further declare that we desire to be candidates for delegates to a Convention called for the purpose of ratifying
or rejecting a proposed amendment to the Constitution of the United States, such convention to convene on the 28
th
day
following the date of the election at which such delegates are elected.
Favor ratification
Oppose ratification
Will remain unpledged
We further declare that we:
(Choose only one)
Address
Signature of Candidate
Printed Name of Candidate
Date Signed
(Street, City/Village, Zip)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Address
Signature of Candidate
Printed Name of Candidate
Date Signed
(Street, City/Village, Zip)
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
We hereby constitute the following persons, or petitioners, as a committee to represent said Candidates:
Committee of Five Persons
Residence
We, the undersigned, qualified electors of the State of Ohio, whose voting residence is in the county, city, village, or
township set opposite our names, hereby nominate the above named candidates for nomination to be delegates to a
Convention called for the purpose of ratifying or rejecting a proposed amendment to the Constitution of the United
States.
The above named candidates:
Favor ratification
Oppose ratification
Will remain unpledged
Voting Residence
City, Village, or
Date of
Signature
County
Street Number and Address
Township
Signing
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Voting Residence
City, Village, or
Date of
Signature
County
Street Number and Address
Township
Signing
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
Voting Residence
City, Village, or
Date of
Signature
County
Street Number and Address
Township
Signing
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Circulator Statement
Must be completed and signed by the circulator.
I,
, declare under penalty of election falsification that I reside at the address
Printed Name of Circulator
signatures;
appearing below my signature; that I am the circulator of the foregoing petition containing
Number
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 or of an attorney in fact acting pursuant to section 3501.382 of the Revised Code.
Signature of Circulator
Permanent Residence Address
City or Village
State
Zip Code
ADVERTISEMENT