HomeMy WebLinkAboutBennett, Tracy Candidacy Application 2025 2-49
Prescribed by Secretary of State
Section 141.031,Chapters 143 and 144,Texas Election Code
09/2023
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
AU.INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL1 Failure to p,ovide re uir d information may result in rejection of application.
APPLICATION FORA PLACE ON THE `�- GENERAL ELECTION BALLOT
TO:City Secretary/Secretary of Board (na a of election)
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT(Include any place number or other distinguishing number,if any.) INDICATE TERM
�' ( VI k Place 5 /� FULL UNEXPIRED
FULL ME(First,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT*
(O ,L \kt,,, e \ne c,q ncif---
PERMANENTNT RESIDENCE ADDRESS(Do not include a P.O.Box or Rural Route.If PUBLIC MAILING ADDRESS(Optional)(Address for which you receive
you do not have a residence address,describe!acetic`.of residence.) campaign related correspondence,if available.)
3 $2 S c:,c/A° 5 ( S rn _
CITY STATE ZIP CITY STATE ZIP
R.ithLiA(10 -1> 16 1 gb
PUBLIC EMAIL ADDRESS(Optional)(Address for OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
hich your receive campaign related emails,if available.) /� ,r
Home: Office: Cell: I—7' 36 i --gi 6
FEL• Y CONVICTION STATUS(You MUST check one) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN
fri I have not been finally convicted of a felony. IN THE STATE OF TEXAS IN TERRITORY/DISTRICT/PRECINCT FROM
❑ I have been finally convicted of a felony,but I have been WHICH THE OFFICE SOUGHT IS ELECTED
pardoned or otherwise released from the resulting 2 year(s) I year(s)
disabilities of that felony conviction and I have provided IP,^,
proof of this fact with the submission of this application.3 l(/ month(s) month(s)
*If using a nickname as part of your name to appear on the ballot,you are also signing and swearing to the following statements: I further swear that
my nickname does not constitute a slogan or contain a title,nor does it indicate a political,economic,social,or religious view or affiliation. I have
been commonly known by this nickname for at least three years prior to this election. Please review sections 52.031,52.032 and 52.033 of the Texas
Election Code regarding the rules for how names may be listed on the official ballot. � i
Before me,the undersigned authority,on this day personally appeared(name of candidate) .��l/(,It„ C� �-Y' l ,who
being by me here and now duly sworn,upon oath says:
"I,(name of candidate) f t� cbe yk YAP I, ,of ' (�0fa.n, County,Texas,
being a candidate for the office of (d Cenci l 9 ta(e 5 ,swear that I will support and defend the Constitution and
laws of the United States and of the State of Tex s. I am a citizen of the United States eligible to hold such office under the constitution and laws of
this state. I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially
mentally incapacitated without the right to vote. I am aware of the nepotism law,Chapter 573,Government Code. I am aware that I must disclose
any prior felony conviction,and if so convicted,must provide proof that I have been pardoned or otherwise released from the resulting disabilities of
any such final felony conviction. I am aware that knowingly providing false information on the application regarding my possi felony conviction
status constitutes a Class B misdemeanor. I further swear that the foregoing statements included in m lication are i all thi s true and correct."
X
SIG RE OF CA DI
Sworn to and subscribed before me this the l4 day of rd tuat j , ()INS ,by Tra. j R,ae Bone t-�
•
(day) (month) (year) J (name of candidate)
c F'
a�a, �- /Maria. WWI MS'
gnature of Officer Authorized to Administer Oath4 Printed Na I th
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���yyy,,,,,, ��, �vr MARIA WILLIAMS
f�/ota Not -_��!"e .,Notary ID#134664040 I
274. My Commission Expires )
Title of Officer Authotryed to Administer Oath OF November 30,2027
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE RECiajakialaggis44461411140 BY:
El CASH CHECK El MONEY ORDER ❑CASHIERS CHECK OR ❑PETITION IN LIEU OF A FILING FEE.
This document and$/SQ.00 filing fee or a nominating petition of n f a pages r d. Voter Registration Status Verified
02 f `1 / o[.t 25 a / / 2 a 5 (See Section 1.007) N"eQ'aut4
Date Received Date Accepted S. nature of Filing Officer or Designee