Missouri Revised Statutes Title VII. Cities, Towns and Villages § 78.100. Candidate to file statement

Any person desiring to become a candidate for mayor or councilman shall file with the city clerk a statement of such candidacy in substantially the following form: State of Missouri, County of ․․․․․․․․․․ ss.

I, ․․․․․․․․․․, herewith state and declare that I reside at number ․․․ street, city of ․․․․․․․․․․, county of therein; that I am a candidate for nomination to the office of (mayor or councilman) to be voted upon at the primary election to be held on the ․․․․․․․․․․ Tuesday of ․․․․․․․․․․, 20․․․, and I hereby request that my name be printed upon the official primary ballot for nomination by such primary election for such office.

(Signed)