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HomeMy WebLinkAboutMitchell, Russell Candidacy Application 2026 2-49 Prescribed by Secretary of State Section 141.031,Chapters 143 and 144,Texas Election Code;Section 11.055,Texas Education Code 07/2025 APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPJIONAL'Failur rovide required information may result in rejection of application. APPLICATION FOR A PLACE ON THE cs//r C''l'C>//ate .6 GENERAL ELECTION BALLOT TO:City Secretary/Secretary of Board (name 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 C hi, 6101,/vC/L ? c_ FULL UNEXPIRED FU AMirst,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT* kid Sr4-1( „b /-/ /-/-0' iza , iett- < A& / k---C,L PERMANENT RESIDENCE ADDRESS(Do not include a P.O.Box or Rural Route.If PUBLIC MAILING ADDRESS(Optional)(Address for which you receive you d not have a residence address,describe ocation of resident ) campaign related correspondence,if available.) 3 / 7 i)j ,/nvIV(Loc•l, ,..5---i¢ CITY STATE ZIP CITY STATE ZIP N/2//- /(3 tiVX/7/— 74-1? ei a PUBLIC EMAIL ADDRESS(Optional)(Address for OCCUPATIOWDo���not l�eave blank) DATE OF BIRTH VOTER REGISTRATION VUID which you receive campai n related emails,if available.) ,—.4-4:x.4��1N � � TELEPHONE CONTACT INFO ATIO (Opti nal) /-7 �j J�" (� �-- Home: Office: l'Q[ / O 6 �e)� / Cell: S'/7 : /3 - 1 F ONY CONVICTION STATUS(You MUST check one) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN I have not been finally convicted of a felony. IN THE STATE OF TEXAS IN TERRITORY/DISTRICT/PRECINCT FROM ❑ I h ve been finally convicted of a felony,but I have been �- WHICH THE OFFICE SOUGHT IS ELECTED pardoned or otherwise released from the resulting / year(s) 7-®year(s) disabilities of that felony conviction and I have provided proof of this fact with the submission of this application.3 4 month(s) month(s) This Box Must ONLY be Completed by Candidates for School District Board of Trustees Check the Box Below: E Imam aware that I am not eligible to serve as a trustee of an independent school district if I am required to register as a sex offender under Chapter 62,Code of Criminal Procedure. *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. Before me,the undersigned authority,on this day personally appeared(name of candidate) R(,ASS f// D /flJ Cif ,who being by me here and now duly sworn,upon oa says: may, /, l �' "I,(name of candidate) �� �E�/� D 0// "�/,of 'Y�� ~ County,Texas, Being a candidate for the office of L/Av �'A AJ // • ace.z- 6 ,swear that I will support and defend the Constitution and laws of the United States and of the State of Texas. I am citizen of the Unite6 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 m ' ted 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 f y conviction,a • s con cted,must provide proof that I have been pardoned or otherwise released from the resulting disabilities of any such final felon onviction.I a are th no ingly providing false' ation on the application regarding my possible felony conviction status constitutes a Class B misde eanor. I g s a ements included in my application are in all things true and correct. X T SIGNATURE OF CANDIDATE Sworn to and subscribed before me this the i day of j-C11(,LQJL( (,pale,by R,US$f i, D. /1/t.,<tchev. • (day) (month)•-J (year) (name of candidate) cuia li,L eerct 4 J�j% — AP S' na ure of Officer Authorized to Administer Oath4 Printec$V Z JV •fficgrottary i nistel Oath " ,J Notaxc. My Commission Expires ) ;, '*( 4' November 30,2027 ) Title of Officer Authorized Administer Oath TO BE COMP ETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE REQUIRED FILING FEE(If Applicable)PAID BY: El CASH u CHECK ITI MONEY ORDER ITI CASHIERS CHECK OR ITI PETITION IN LIEU OF A FILING FEE This document and$ ISO.Wfiling fee or a nominating petition of N/A pages received. 1M Voter Registration Status Verified 01 / 14 / �0 \ / Iti / ri (See Section 1.007) Q'wa'-�/ /y�CJ� Date Received Date Accepted Si ature of Filing Officer or Designee