HomeMy WebLinkAboutApplication for a Place on the Ballot- Stewart, Ben 01.15.2025i
2-26
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2021
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL' Failure to provide required information may result in rejection of application.
APPLICATION FOR A PLACE ON THE Georgetown City Council District 7 GENERAL ELECTION BALLOT
TO: City Secretary/Secretary of Board (name of election)
I request that my name be placed on the above -named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT (Include any place number or other distinguishing number, if any.)
INDICATE TERM
Georgetown City Council District 7 Council Member
FULL UNEXPIRED
FULL NAME (First, Middle, Last)
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT*
Robert Benjamin Stewart
Ben Stewart
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If
PUBLIC MAILING ADDRESS (Optional) (Address for which you receive
you do not have a residence address; describe location of residence.)
campaign related correspondence; if available.)
CITY
STATE
ZIP
CITY
STATE
ZIP
Georgetown
TX
78626
PUBLIC EMAIL ADDRESS (Optional) (Address for
OCCUPATION (Do not leave blank)
DATE OF BIRTH
VOTER REGISTRATION VUID -
which you receive campaign related emails, if available.)
NUMBERZ (Optional)
Managing Consultant
03 / 05 / 1979
TELEPHONE CONTACT INFORMATION (Optional)
Home: Office: Cell:
FELONY CONVICTION STATUS (You MUST check one)
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN
-I have not been finally convicted ofa'felony.
IN THE STATE OF TEXAS
IN TERRITORY/DISTRICT/PRECINCT FROM
0 I have been finally convicted of a felony, but I have been
23
WHICH THE OFFICE SOUGHT IS ELECTED
12
pardoned or otherwise released from the resulting
year(s)
year(s)
disabilities of that felony conviction and I have provided
11 month(s)
10 month(s)
proof of this fact with the submission of this application.3
*If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swear that
my nickname does not constitute a slogan or contain a title, nor does it indicate a political, economic, social, or religious view or affiliation. I have
been commonly known by this nickname for at least three years prior to this election. Please review sections 52.031 52.032 and 52.033 of the Texas"
Election Code regarding the rules for how names may listed on the official ballot.
Before me, the undersigned authority, on this day personally appeared (name of candidate) Robert B. Stewart who
being by me here and now duly sworn, upon oath says:
"l, (name of candidate) Robert B. Stewart of ;Williamson County, Texas,
being a candidate for the office of - Georgetown City Council District 7 swear that I will support and defend the Constitution and
laws of the United States and of the State of Texas. I am a citizen of the United States eligible to hold such office under the constitution and laws of
this state. I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially
mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code: I am aware that I must disclose
any prior felony conviction, and if so convicted, must provide proof that I have been pardoned or otherwise released from the resulting disabilities of
any such final felony conviction. I am aware that knowingly providing false information on the application regarding my possible felony conviction
status constitutes a Class B misdemeanor. I further swear that the foregoing statements include ' my application are in all things true and correct."
SIGNATURE OF CANDIDATE
Sworn to and subscribed before me this the I day of e ' , by
(day) (month) (year) (name of candidate)
4inature
fficer Authorized to Administer Oath4 Printed Name of Officer Authorized to Administer Oath
. l¢r
Title of Offic r Authorized to Administer Oath ar >-Qr
TO BE COMPLETED BY FILING OFFICER.-, THIS APPLICATION IS ACCOMPANIED BY THE REQU F j PiRlQ
El CASH CHECK MONEY ORDER � CASHIERS CHECK OR PETITION IN LIEU OF A I My on 17,c,ires
E
2026
This document and $ filing fee or a nominating petition of pages received erfed
/ (See Section 1.007)
Date Received Date Accepted Signatur of Filing officer or Designee