Form 14 "Statement of Receiving or Providing Compensation for Circulating a Statewide Candidate Petition" - Ohio

What Is Form 14?

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 14 by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 14 "Statement of Receiving or Providing Compensation for Circulating a Statewide Candidate Petition" - Ohio

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Form No. 14 Prescribed by Secretary of State (09-17)
Statement of Receiving or Providing Compensation
print clearly
For Circulating a Statewide Candidate Petition
R.C. 3501.381
will:
Printed name of individual or entity
(Check ONE)
receive compensation for, or
compensate an individual or entity
for supervising, managing, or otherwise organizing an effort to obtain signatures for a declaration of candidacy
or nominating petition for
who is seeking the office of:
Name of prospective candidate
(Check ONE)
Governor/Lieutenant Governor
Secretary of State
Auditor of State
Treasurer of State
Attorney General
The petition will be circulated for the: (check ONE)
primary election, or
general election
to be held on
day of
,
.
Month
Year
I declare under penalty of election falsification that the statements above are true and accurate.
Printed name of individual or authorized signer for an entity
MM/DD/YYYY
Signature of individual or authorized signer for an entity
Date
Address
City, State, and Zip Code
Telephone Number
Email
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Whoever fails to file this statement as required by section 3501.381 of the Ohio Revised Code is guilty of a misdemeanor of the
first degree, and the petition for which a person was compensated for supervising, managing, or otherwise organizing the effort to
obtain signatures shall be deemed invalid.
Form No. 14 Prescribed by Secretary of State (09-17)
Statement of Receiving or Providing Compensation
print clearly
For Circulating a Statewide Candidate Petition
R.C. 3501.381
will:
Printed name of individual or entity
(Check ONE)
receive compensation for, or
compensate an individual or entity
for supervising, managing, or otherwise organizing an effort to obtain signatures for a declaration of candidacy
or nominating petition for
who is seeking the office of:
Name of prospective candidate
(Check ONE)
Governor/Lieutenant Governor
Secretary of State
Auditor of State
Treasurer of State
Attorney General
The petition will be circulated for the: (check ONE)
primary election, or
general election
to be held on
day of
,
.
Month
Year
I declare under penalty of election falsification that the statements above are true and accurate.
Printed name of individual or authorized signer for an entity
MM/DD/YYYY
Signature of individual or authorized signer for an entity
Date
Address
City, State, and Zip Code
Telephone Number
Email
WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A FELONY OF THE FIFTH DEGREE
Whoever fails to file this statement as required by section 3501.381 of the Ohio Revised Code is guilty of a misdemeanor of the
first degree, and the petition for which a person was compensated for supervising, managing, or otherwise organizing the effort to
obtain signatures shall be deemed invalid.