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Propst, Janice-2015 Candidacya NOTICE OF CANDIDACY EumoN �r NORTH CAROLINA b ANION COUNTY ELECTION DATE JURISDICOON MUNICIPAL 11/03/2015 MUM JURISDICTION 08 VALUE FRAUDULENTLY OR FALSELY COMPLETING THIS FORM IS A CLASS 1 FELONY UNDER CHAPTER 163 OF THE NC GENERAL STATUTES TO: UNION COUNTY BOARD OF ELECTIONS Candidate ID: RE: NOTICE OF CANDIDACY FOR OFFICE OF: TOWN OF WEDDINGTON COUNCIL DISTRICT PARTISAN El (FNeral, Slxle, County or Municipal) NON-PARTISAN CONTESTS JUDICIAL CONTESTS CANDIDATE'S NOTICE AND PLEDGE (select appropriate checkbox and complete section based on the contest for which you are filing your notice of candidacy) 1 hereby file notice as a candidate for nomination as in District in the party primary election to be held on 1 affiliate with the party, and I certify that I am now registered on the registration records of the precinct in which I reside as an affiliate of the party. I further certify that I have not changed my political party affiliation within the past ninety (90) days, nor have I changed from "unaffiliated" status to my current affiliation with the past ninety (90) days. 1 pledge that if I am defeated in the primary, I will not run for the same office as a write-in candidate in the next general election. ® 1 hereby file notice as a candidate for election to the office of TOWN OF WEDDINGTON COUNCIL DISTRICT 4 in District in the MUNICIPAL Election lobe held on 11/03/2015 in UNION County. ❑ I hereby file notice as a candidate for election to the office of to succeed (Name and District ifapplicable), in the regular election to be conducted . 1 certify that 1 am now registered on the registration records of the precinct in which I reside. I understand that if required by G.S. § 163-322, a non-partisan primary is scheduled to be conducted on My N.C. State Bar No. is JANICE G PROPST Fu/l/<gol Nume 531 WEDDINGTON RD MATTHEWS, NC 28104 CLOS mdLp CANDH)ATE INFORMATION Janice Proust N e /n Appear. Ru/IDI (704)849-6759 H. PMN Call Ph.. auvnea pAax FinmlAddea FELONY DISCLOSURE Have you ever been convicted of a felony? ❑ YES ® NO If you have been convicted of a felony, you are required to complete the "Candidate Felony Disclosure" form within 48 hours of submitting this notice. GS § 163-106. The required form can be obtained from any election office or from the NC State Board of Elections website at www.NCSBE.gov. A prior felony conviction does not preclude holding elected office if rights of citizenship have been restored. Felony conviction need not be disclosed if the conviction was dismissed as a result of reversal on appeal or resulted in a pardon of innocence or expungement. AFFIDAVIT ATTESTING TO NICKNAME have been duly sworn, hereby state under oath that I have been commonly known by the nickname, for at least five years and request that my time be placed on the ballot as follows: . In the event that another candidate with the same last name as mine files notice of candidacy for the N.roAppem mr 8dla same office for which I am a candidate, my name should be listed as follows: ((.egal rmmr and rrirbmnel CANDIDATE'S AFFIRMATION 1 swear or affirm that the statements on this form are true, correct and complete to the best of my knowledge or belief. 07/062015 Dnle Revived 2013.10 Notice of Candidacy, Page 2 OF AFFIDAVIT OF NICKNAME (if applicable) STATE OF NORTH CAROLINA, COUNTY I hereby certify that, the candidate who signed the AFFIDAVIT ATTESTNG TO NICKNAME, personally appeared before me this day and signed this document in my presence. Sworn to and subscribed before me this day X No,ap�.1'i}mumre ACKNOWLEDGMENT OF NOTICE OF CANDIDACY STATE OF NORTH CAROLINA, UNION COUNTY 1 hereby certify that, 1ANICE G PROPST . the candidate who signed this NOTICE OF CANDIDACY, personally appeared before me this day and signed this document in my presence or acknowledged his/her signature to be the same. Date: 07/06/2015 X Si(n,mvrc o)Cnrhi,nr O$,m/ Naray) �f ii<1 `rl AI l4mred Nnme J('eH6L,g Of/!ttr /a Normy/ Trrk ofCnrJfyin, Off., My C...,. Fry,,,, VERIFICATION BY COUNTY BOARD OF ELECTIONS The undersigned has examined the voter registration records in UNION COUNTY and found that IANICE G PROPST [9"_ Is a registered voter in this county. 2_ (Municipal Contests Only) Is a registered voter in the municipality of ❑ (Partisan Contests Only) Is affiliated with arty and has not changed his/her political party affiliation within the past ninety (90) days. A n e 12 1 X 6AI w `0/ rir(e ufc �Bn Y SiB,arurc oJ(-w,n, 0 ew, The Notice of Candidacy must be signed in the presence of the chairman, secretary or director of the Board of Elections with which he/she files or a candidate may have his/her signature on the Notice of Candidacy acknowledged and certified to be any officer authorized to administer an oath. (See NCGS § 163-294.2.) Revised 2013. 10