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Jesse Davis - Application for a Place on the Ballot - 01-13-2021 2-21 Prescribed by Secretary of state Section 141.031,Chapters 143 and 144,Texas Election Code 1/2017 ALL INFORMATION IS RE UIR TO BE PROVIDED UNLESS INDICATED OPTIONAL APPLICATION FOR A PLACE ON THE City of Denton,Texas GENERAL ELECDON BALLOT TO:City Secretary/Secretary of Board RECEIVED 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 TER Denton City Council-District 3 E FULL City Man el's ag /City Ci ❑UNEXPIRE ""arysOfflce FULL NAME(First,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT' Jesse Lee Davis Jesse Davis PERMANENT RESIDENCE ADDRESS(Do not include a P.O. Box or Rural PUBLIC MAILING ADDRESS(Campaign mailing address,if available.) Route. If you do not have a residence address, describe the address at which you receive personal mail and location of residence.) PO BOX 2671 CITY STATE ZIP CITY STATE ZIP Denton Texas Denton Texas 76202 PUBLIC EMAIL ADDRESS(if available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID NUMBER(Optional)z jesse@jessefordenton.com Attorney 1092222924 TELEPHONE CONTACT INFORMATION(Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN Home: IN STATE IN TERRITORY FROM WHICH THE OFFICE SOUGHT IS ELECTED Work: 37 year(s) 5 year(s) Cell: (817)253-1132 6 month(s) 5 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 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. Before me,the undersigned authority,on this day personally appeared(name) Jesse Davis who being by me here and now duly sworn,upon oath says: "I, (name) Jesse Davis of Denton County, Texas, being a candidate for the office of Denton City Council-District 3 ,swear that I will support and defend the Constitution and laws of the United States and of the State of Texas. 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 finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other official action. 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,Ch t r 573,Government Code. I further swear that the foregoing statements included in my application are in all things t e d correct." X SI ATURE OF CANDIDATE Sworn to and subscribed before me at II % (50?.M ,this the t3-11r� day of c CATHNE WELBORN I ' -' Notary u �C,State of Texa f s m� Com. Expires 02-24-202 ~• Notary ID 131018469 SignatANL&ON10inistering Oath4 Title of Officer Administering Oath TO B PL ED TY SECRETARY OR SECRETARY OF BOARD: (See io - `" �—/�—�?O�-/ _ _ -_�5 > _ Date Received Signature of Secretary r . Voter s Verified