Shell for Forms Sheet - Texas Secretary of State

AW3-16
Prescribed by Secretary of State
Section 145.001, Texas Election Code
03/07
CERTIFICATE OF WITHDRAWAL
I, _____________________________________________, a candidate for the office of
__________________________________________, hereby withdraw my candidacy from the
_______________________________ election.
The election is being conducted by
_________________________________ and is to be held on ________________.
(political subdivision/county/party)
(date)
________________________________________
Signature of Candidate
"The State of _________________,
"County of ____________________,
"This instrument was acknowledged before me on ___________________________ by
(date)
__________________________________.
(withdrawing candidate)
____________________________________
(Signature of officer)
(Seal)
____________________________________
(Title of officer)
My commission expires:_______________
Forma prescrita por la Secretaría de Estado
Fracción 145.001 del Código Electoral de Tejas
CONSTANCIA DE RETIRO DE CANDIDATURA
Yo, _______________________, candidato/a al cargo de _______________________, por este
medio retiro mi candidatura de la elección ___________________. Dicha elección estará a
cargo de ________________________ y se celebrará el ____________________.
(subdivisión política/condado/partido)
(fecha)
________________________________________
Firma del/de la Candidato/a
“El estado de _________________,
"Condado de ____________________,
"El presente instrumento fue reconocido ante mí el ___________________________ por
(fecha)
____________________________________.
(persona que retira su candidatura)
____________________________________
Firma del/de la Oficial
(Seal)
____________________________________
(Título del/de la Oficial)
(Mi cargo se vence el):______________
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