California Code, Elections Code - ELEC § 6786

    Nomination paper of a presidential preference candidate for the Peace and Freedom Party presidential primary ballot.

State of California

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ss.

County of ____________

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    I, the undersigned, am a voter of the County of ____________________, State of California, and am registered as affiliated with the Peace and Freedom Party.  I hereby nominate __________ for the presidential preference portion of the Peace and Freedom Party's presidential primary ballot, to be voted for at the presidential primary to be held on the ______ day of June, 20___.  I have not signed the nomination paper of any other candidate for the same office, or for any group of delegates to the national convention of the ______ Party, with which the Peace and Freedom Party of California is affiliated on the national level.

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Number

Signature

_________________________________________________________________________________________________

 1.

_________________________________________________________________________________________

 2.

_________________________________________________________________________________________

 3.

_________________________________________________________________________________________

etc.

_________________________________________________________________________________________

_________________________________________________________________________________________________

    I, _______________, affirm * * * all of the following:

    1. That I am 18 years of age or older.

    2. That my residence address, including street and number, is

_________________________________________________________________________________________.

    [If no street or number exists, a designation of my residence adequate to readily ascertain its location is

_________________________________________________________________________________________.]

    3. That I secured signatures in the County of ____________________ to the nomination paper of a candidate in the presidential preference primary of the Peace and Freedom Party, that all the signatures on this section of the nomination paper numbered from 1 to ___, inclusive, were made in my presence, that the signatures were obtained between ______, 20___, and ______, 20___, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be.

    I declare under penalty of perjury that the foregoing is true and correct.

    Executed at ______, California, this ______ day of______, 20___.

(Signed) __________________________________________________

(Printed name) ____________________________________________