"Affidavit in Support of Request to File for Public Office in Forma Pauperis" - Nebraska

Affidavit in Support of Request to File for Public Office in Forma Pauperis is a legal document that was released by the Nebraska Secretary of State - a government authority operating within Nebraska.

Form Details:

  • Released on October 1, 2019;
  • The latest edition currently provided by the Nebraska Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

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

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Download "Affidavit in Support of Request to File for Public Office in Forma Pauperis" - Nebraska

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Affidavit in Support of Request to File
for Public Office In Forma Pauperis
I, ________________________________ of ___________________________________,
(
Name of Candidate)
(Street Address)
_____________________________, Nebraska, _____________________ County, being
(
City, Town or Village)
(Name of County)
first duly sworn according to law, depose and state that I am a candidate for the office of
__________________________________________________________ and that I desire
(Office and/or District)
to file a Candidate Filing Form without the payment of filing fees.
Further, this affidavit incorporates my statement indicating that as a candidate for public office
I have no monies, property or other possessions of value with which to pay said filing fees or
give security therefore, and I believe I am entitled to file for public office notwithstanding the
inability to pay the requisite filing fees.
Candidate Signature:________________________________
State of Nebraska
)
) ss.
County of _________________________ )
Subscribed in my presence and sworn to before me this ______ day of ___________,
(Day)
(Month)
_____________.
(Year)
(Seal)
_______________________________
Election Official/Title or Notary Public
Neb. Rev. Stat. §32-608
October 2019
Affidavit in Support of Request to File
for Public Office In Forma Pauperis
I, ________________________________ of ___________________________________,
(
Name of Candidate)
(Street Address)
_____________________________, Nebraska, _____________________ County, being
(
City, Town or Village)
(Name of County)
first duly sworn according to law, depose and state that I am a candidate for the office of
__________________________________________________________ and that I desire
(Office and/or District)
to file a Candidate Filing Form without the payment of filing fees.
Further, this affidavit incorporates my statement indicating that as a candidate for public office
I have no monies, property or other possessions of value with which to pay said filing fees or
give security therefore, and I believe I am entitled to file for public office notwithstanding the
inability to pay the requisite filing fees.
Candidate Signature:________________________________
State of Nebraska
)
) ss.
County of _________________________ )
Subscribed in my presence and sworn to before me this ______ day of ___________,
(Day)
(Month)
_____________.
(Year)
(Seal)
_______________________________
Election Official/Title or Notary Public
Neb. Rev. Stat. §32-608
October 2019