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Declaration for Nomination and Oath of Candidacy -Nonpartisan DECLARATION AND OATH OF CANDIDACY TO BE FILED WITH COUNTY ELECTION ADMINISTRATOR AS APPLICABLE Filing for office of: Full Term OR 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 FILING FEE – FEE MUST BE PAID BEFORE FILING IS VALID: Candidate Filing Fee, if applicable, in the amount of $ 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 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 NOTARY 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 Date NOTARY PUBLIC OR AUTHORIZED OFFICER State of Montana County of Signed and sworn to before me this of by Printed Name of Candidate Updated December 7, 2016 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: sos.mt.gov By Fax: [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] [SEAL/STAMP] Signature of Notary or Public Official Printed Name of Notary Public Notary Public for the State of Residing at: My commission expires: , 20 SIGN SIGN