(a)Independent candidates for partisan public offices may
be nominated by filing a signed petition in substantially the
following form:
PETITION FOR NOMINATION
I, ...., swear or affirm that I was born on ...., ....(year),
that I have been a resident of the State of Wyoming since ....,
and that I am a registered voter of Election District No. ....,
in Precinct No. ...., County of ...., residing at ...., (if for
the office of state senator or representative, commissioner or
other district office) in Senate (House) (Commissioner or other)
District ...., State of Wyoming, (if for the office of governor)
and that I resided at the physical residential addresses listed
below during the past five (5) years, and having obtained the
number of signatures required by law for nomination by petition,
I
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(a) Independent candidates for partisan public offices may
be nominated by filing a signed petition in substantially the
following form:
PETITION FOR NOMINATION
I, ...., swear or affirm that I was born on ...., ....(year),
that I have been a resident of the State of Wyoming since ....,
and that I am a registered voter of Election District No. ....,
in Precinct No. ...., County of ...., residing at ...., (if for
the office of state senator or representative, commissioner or
other district office) in Senate (House) (Commissioner or other)
District ...., State of Wyoming, (if for the office of governor)
and that I resided at the physical residential addresses listed
below during the past five (5) years, and having obtained the
number of signatures required by law for nomination by petition,
I hereby request that my name be printed on the official ballot
at the next general election as an independent candidate for the
office of .... and declare that if nominated and elected, I will
qualify for the office.
(If for the office of United States senator or representative in
congress) I have not, at any time when knowingly seeking
nomination or election to this office, claimed or been currently
claiming any residence or received the benefits of residency
from any other state, excluding the benefits of residency
related to or incidental from maintaining a residence at or near
the United States capital.
(If for the office of governor) I have resided at the following
physical residential addresses during the past five (5) years:
(Residence) (Date)
1.
2.
Dated the .... day of ...., ....(year).
....................... (Signature)
The eligible, registered electors supporting my nomination, and
numbering not less than the number required under W.S. 22-5-304,
are as follows:
(Signature) (Printed Name) (Residence) (Date)
1.
2.
VERIFICATION BY CIRCULATORS
I, ...., do hereby certify that I am a circulator of this
petition, and I solely and personally circulated this petition,
that all the signatures appearing herein were made in my
presence from .... (month) .... (day), ....(year) through ....
(month) .... (day), ....(year), and to the best of my knowledge
and belief such signatures are those of the persons whose names
they purport to be.
............... (Signature)
(b) The petition shall be approved by the appropriate
filing office prior to circulation.