Each candidate or group of candidates shall submit a nomination paper that shall be substantially in the following form:
County of _______.Nomination paper of ______, candidate for the office of _______.
State of California
County of
⎱ ⎰
ss.
SIGNER’S STATEMENT
I, undersigned, am a voter of the County of ______, State of California. I hereby nominate __________, who resides at No. ______, ________ Street, City of ________, County of ______, State of California, as a candidate for the office of _______ to be voted for at the election to be held on the ______ day of ______, 20___. I have not signed the nomination paper of any other candidate for the same office.
Number Signature
Printed Name
Residence
1.
2.
3.
4.
5.
etc.
CIRCULATOR’S AFFIDAVIT
I, ________, solemnly swear (or affirm) that I secured signatures in the County of ______ to the nomination paper of ________ as candidate for the office of ______; that the signatures were obtained between _______, 20__, and ________, 20__; that I saw all the signatures on this section of the nomination paper being signed and that, to the best of my information and belief, each signature is the genuine signature of the person whose name it purports to be.
My residence address is
(Signed) Circulator
Subscribed and sworn to before me this ______ day of ______, 20__.
(SEAL)
Notary Public (or other official)