STATEMENT OF CANDIDACY
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STATE OF MISSOURI
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COUNTY OF CASS
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I, _____, being first duly sworn, state that I reside at _____,
City of Raymore, County of Cass, Missouri; that I am a qualified voter
in the ward containing my place of residence; that I have reached
the age of 25; that I have been a resident of the City for two (2)
years; that, "if filing for the office of Councilmember", I have been
a resident of my respective ward for six (6) months; that I am not
currently aware that I am in arrears for any filing or payment of
any State income taxes, personal property taxes, municipal taxes,
real property taxes on the place of residence, as stated on the declaration
of candidacy form, liens, or I am not a past or present corporate
officer of any fee office that owes any taxes to the State, other
than those taxes which may be in dispute, or forfeitures or defalcation
in office, that I have not been found guilty of or pled guilty to
a felony under the federal laws of the United States of America or
to a felony under the laws of this State or an offense committed in
another state that would be considered a felony in this State; I am
in compliance with all provisions of Section 115.306 RSMo., as amended;
I am not aware of any information that would prohibit me from fulfilling
any bonding requirements for the office for which I am filing, and
that I have filed a complete and notarized Candidate's Affidavit of
Tax Payments with the Department of Revenue if applicable, and that
I do hereby declare myself a candidate for the office of (here name
the office), to be voted upon at the municipal election to be held
on the first Tuesday of April, 20_____, and am eligible therefore,
and I hereby request that my name be printed upon the official ballot
for said election for said office, and state that I will serve as
such officer, if elected.
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Signed:
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Subscribed and sworn to before me this ___________ day of _____________,
20 _____.
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City Clerk
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City of Raymore
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(SEAL)
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