JOINT CANDIDATES COMMITTEE - SWORN STATEMENT

Filing with ELEC

JOINT CANDIDATES COMMITTEE - SWORN STATEMENT

NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION

P.O. Box 185, Trenton, NJ 08625-0185
Phone: (609) 292-8700
Website: www.elec.nj.gov

Form A-2

Amendment

Joint Candidates Committee Name

Candidate Name

Office Sought Office must be selected

Candidate Name

Office Sought

Candidate Name

Office Sought

Candidate Name

Office Sought

Candidate Name

Office Sought

Candidate Name

Office Sought

Street Address

City

State

Zip

*Phone Number

Committee Email

Committee Website

Election Type

County

Election District or Municipality

Party

Election Date

I, the undersigned, do hereby certify as follows:

CANDIDATE CERTIFICATION : I certify that the statements on this document are true.I am aware that if any of thestatements are willfully false, I may be subject to punishment.

Registration Number

Candidate

Date

Registration Number

Candidate

Date

Registration Number

Candidate

Date

Registration Number

Candidate

Date

Registration Number

Candidate

Date

Registration Number

Candidate

Date

*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.

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