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Alison Maguire - 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 REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL APPLICATION FOR A PLACE ON THE C' GENERAL EL 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 RM I ©FULL City Manager's/City DE7 A�0Y\ C I Lock cI 1 D(,54 C t C� Secretary's Office Secretary's FULL NAME(First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT' agckire - Qovie✓I ��i50Y� uIf��isoln Czl1le� M 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.) as 040, mifanao. Pt. a a c, Mi 0,V,da P1 CITY STATE ZIP CITY STATE ZIP NYAO V\ -F 7 0 10 Piqv4on TX 76 a I 0 PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID NUMBER(Optional)2 Skay-ak- holm'? NUMBER alisoh�or derl�o�n@gM4�1•(-owl t ilatc)46ab5g TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTINLTM RESIDENCE AS OF DATE APPLICATION SWORN Horne: IN STATE IN TERRITORY FROM WHICH THE OFFICE SOUGHT IS ELECTED; Work: �j year(s) 6 _year(s) Cell: 1`10 " nZO 'l�g � 7 month(s) 7 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) ��t�y, 4zc",44 - .�iwho being by me here and now duly sworn,upon oath says: J 1, (name) _ 4 of ��',� �� County, Texas, being a candidate for the office of o1n C at u+C1 I S ;s ci ci H swLfar 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,Chapter S73,Government Code. I further swear that the foregoing statements included in my application are i all things true and correct." X r f'a SIG A E OF CANDIDATE Sworn to and subscribed before meat /mow✓. this the day of r� FlQft 4. RIGS �`X PUB �=:° ; S Notary Public, State of Texas _ Comm. Expires 05-23.2024 u+ a Notary ID 8760780 Signature ces ni w Oath Title of Offi er Administering Oath TO BE CO E TY ETARY OR SECRETARY OF BOARD: (See Sectin 7) ��� y, QE Date Received Signature of Secretary Voter Registratio s Verified P