[R.O. 2003 § 115.010]
All City elections shall be conducted and held in conformance with the provisions of Chapter 115, RSMo.
STATEMENT OF CANDIDACY | ||
STATE OF MISSOURI | ) | |
) SS | ||
COUNTY OF LINN | ) | |
I,__________, a resident and registered voter of the City of Marceline and the State of Missouri, residing at ____________________________, do announce myself a candidate for the office of _____________, for a term of ____ year(s) to be voted upon at the general election to be held on the _____ day of April, _____, and I further declare that if nominated and elected to such office, I will qualify. I further declare that I have no outstanding campaign disclosure reports due from any prior elections. | ||
Name (as it is to appear on the ballot) | Email address (optional) | |
Residential Address | Mailing Address (if different) | |
City, State, Zip | Telephone Number (optional) | |
I hereby swear or affirm that I have received Form 5120, the Candidates Affidavit of Tax Payments and Bonding Requirements, and understand I am required to file the form with the Missouri Department of Revenue per Section 115.306, RSMo. I understand that failure to file the form and/or to be delinquent in the taxes listed in Section 115.306, RSMo., I may be disqualified from the current election. I will file a copy of Form 5120 with the Marceline City Clerk, once I have submitted it to the Missouri Department of Revenue. I hereby swear or affirm that the information contained in the foregoing declaration of candidacy is, to the best of my knowledge, true. | ||
Signature of Candidate | ||
Subscribed and sworn to before me this _____ day of __________, 20__. | ||
(SEAL) | ||
City Clerk | ||
City of Marceline | ||