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Declaration for Nomination and Oath of Candidacy -Nonpartisan DECLARATION AND OATH OF CANDIDACY TO BE FILED WITH COUNTY ELECTION ADMINISTRATOR /lS APPLICABLE Filing for office of: D Full Term OR D Partial Term ending _ Full name of office including district and/or department numbers if applicable Candidate Name (printed exactly as it should appear on the ballot) : Mailing Address City and State Zip Code Residence Address City and State Zip Code County of Residence Contact Phone Email Address Website Address - . . . , . . r. · ~ _ . · P~ IP BE~ORE FILIN';,. 15 V_ALID: . 0 Candidate Filing Fee, if applicable, in the amount of s / I is hereby submitted with this Declaration and Oath of Candidacy. Filing fees : -for candidates of offices for nonpartisan office for which a salary of fees are not paid -for offices having an annual salary of $2,500 or less and candidates for the legislature, $15 - for county offices having an annual salary of more than $2,500, 0.5% of the total annual salary - for other offices having an annual salary of more than $2,500, 1% of the total annual salary OATH OF CANDIDACY- CANDIDATE MUST SIGN IN THE PRESENCE OF A t:JOTARY PUBLIC OR AN OFFICER OF THE OFFICE WHERE THIS FORM IS FILED: - . I hereby affirm that I possess, or will possess within constitutional and statutory deadlines, the qualifications prescribed by the Constitution and laws of the United States and the State of Montana. Signature of Candidate NOTARY PUBLIC OR AUTHORIZED OFFICER State of Montana County of _ Date Signed and sworn to before me this day of 20 by . Where to file for Federal, Statewide, State District and Legislative offices: Montana Secretary of State State Capitol, 2nd Floor, Room 260 PO Box 202801 Helena, MT 59620-2801 Online: By Fax: sos.mt.gov [PHONE REDACTED] Where to file for County, City and most Local District offices: Flathead County Election Dept. 40 11th ST W #230 Kalispell, MT 59901 By Fax: [PHONE REDACTED] Printed Name of Candidate Signature of Notary or Public Official Printed Name of Notary Public Notary Public for the State of _ Residing at: My commission expires: , 20 Updated December 7, 2016