HomeMy WebLinkAboutNomination Papers - Scott,.
OFFICIAL FILING FORMLA I
PRI M FifSEPT. r.?
PAGE 1 OF 3 2014 JUL 19 AM 9.' 2
AFFIDAVIT OF NOMINEE & OATH OR AFFIRMATION OF NOMINEE
AFFIDAVIT OF NOMINEE
State of California
County of Riverside ) SS.
I, Chris Scott
MUNICIPAL
City: of Palm Desert
Issued by:
SI NATU
City Clerk
r TITLE
Date: 01 (l SI �Z4
, under penalty of perjury, state that I am a nominee for the office
of Palm Desert City Council _
Ward or Councilmanic District 1 ® Full Term ❑ Short Term
I will accept the office in the event of my election to this office at the election to be held on November 5, 2024
desire my name to appear on the ballot as follows:
J�a tf
PRINT OR TYPE YOUR NAME
and I desire the following designation to appear on the ballot under my name:
SYtie��� c 1 5 = otune-r _
(Print or type your principal profession(s), vocatlon(s), or occupation(s), In 3 words or less; or the name of the elective public office you
hold or "Incumbent'. If you leave this space blank, no designation will appear on the ballot.)
My residence address is as follows:
y/1750
5er q,; � 2�a
NUMBER, STREET, CITY & ZIP
c � � MAILING IF DIFFERENT
SIGNATURE OF NOMINEE
S/S� _ (-
TELEPHONE NUMBER EVENING TELEPHONE NUMBER
EMAIL ADDRESS:
S
L®%
AFFIRMATION OF NOMINEE
A1114-
FAX
I do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the
Constitution of the State of California against all enemies, foreign and domestic; that I will bear true faith and
allegiance to the Constitution of the United States and the Constitution of the State of California- that I take this
obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the
duties upon which I am about to enter.
State of California
County of Riverside I ss.
Subscribed and sworn to before me this 15th
TITLE OF
SIGNATURE OF NOMINEE
TH
2024