We the undersigned registered voters of the city of ____________________,
(for municipal elections)
in the county of ____________________, State of Tennessee, (and members of the (for primaries) ______________________ Party), hereby nominate
(for municipal elections)
________________ ______________,
(name) (address)
______________ County as a candidate (for nomination) for the office of
(for primaries)
______________, ______________
(office) (division, part or district number)
to be voted in the election to be held on the ____________________ day of ____________________, ____________________. We request that such candidate's name be printed on the official ballot.
This petition was issued by
______________,
(signature of administrator of elections, deputy or election commissioner)
______________
(date)
TO BE COMPLETED BY CANDIDATE
I hereby direct that my name appear on the official ballot as follows:
______________
PRINT NAME
____________________ | ______________ | ______________ |
(residential address of candidate) | (zip) | (telephone) |
____________________ | ______________ | ______________ |
(business address of candidate) | (zip) | (telephone) |
FOR CANDIDATES REQUIRED TO BE AN ATTORNEY:
By my signature, I hereby certify that I
am licensed to practice law in this state. ______________
(signature of candidate)
SUPREME COURT REGISTRATION No. ____________________
NOMINATING SIGNATURES
(Must be registered voters who are eligible to vote to fill this office)
Signature of Voter Address of Residence as Shown on
Voter Registration
____________________ ____________________
____________________ ____________________
____________________ ____________________
T.C.A. § 2-5-102