Cal. Elec. Code § 6586
The nomination paper for a candidate for the presidential preference portion of the ballot shall be in substantially the following form:
SECTION OF NOMINATION PAPER SIGNED BY VOTER ON BEHALF OF PRESIDENTIAL PREFERENCE PRIMARY CANDIDATE | ||
Section ____________Page ____________ | ||
County of ______________. Nomination paper of a presidential preference candidate for the American Independent Party presidential primary ballot. | ||
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 American Independent Party. I hereby nominate ____________ for the presidential preference portion of the American Independent Party's presidential primary ballot, to be voted for at the presidential primary to be held on the ____________ day of ____________, 20____. I have not signed the nomination paper of any other candidate for the same office, or for any group of delegates, to the national convention of the party, and I further declare that I intend to support the candidate named herein. | ||
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 a candidate in the presidential preference primary of the American Independent Party; 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. I declare under penalty of perjury that the foregoing is true and correct. | |
(Signed) _____ Circulator _____ | |
Ca. Elec. Code § 6586