Cal. Elec. Code § 6365
The nomination paper for a candidate shall be in substantially the following form:
SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF CANDIDATE | ||
Section ____________Page ____________ | ||
County of __________. Nomination paper for ____________ as presidential nominee of the Republican Party. | ||
State of California County of | } | ss. |
SIGNER'S STATEMENT | ||
I, the undersigned, am a voter of the County of ____________, State of California, and am registered as intending to affiliate with the Republican Party. I have not signed the nomination paper of any other candidates for the same office, and further declare that I intend to support the nomination of the candidate named herein at the Republican Party presidential primary to be held on the ____________ day of ____________, 20____. | ||
Number _____ Signature _____ Printed name _____ Residence | ||
1. | ||
2. | ||
3. | ||
etc. | ||
CIRCULATOR'S AFFIDAVIT | ||
I, ________, solemnly swear (or affirm) all of the following: 1.That I am 18 years of age or older. 2.That my residence address, including street and number, is. [If no street or number exists, a designation of my residence adequate to readily ascertain its location is.] 3.That I secured signatures in the County of ________ to the nomination paper of the candidate named in the signer's statement above as candidate for nomination by the Republican Party at its presidential primary election; that all the signatures on this section of the nomination paper numbered from 1 to ____________, inclusive, were made in my presence, that the signatures were obtained between ____________, 20__, and ____________, 20__, and that to the best of my knowledge and belief each signature is the genuine signature of the person whose name it purports to be. | ||
(Signed) _____ Circulator _____ | |
Subscribed and sworn to before me this ____________ day of ____________, 20 ____. | |
(SEAL) | Notary Public (or other official) |
Ca. Elec. Code § 6365