I, ______, a resident of the ______ congressional district and the state of Missouri do announce myself a candidate for the office of presidential elector from the ______ congressional district (state at large) on the ______ ticket, to be voted for at the presidential election to be held on the ______ day of ______, 20______, and I further declare that if nominated and elected to such office I will qualify. | ||
Subscribed and | ||
__________________ | sworn | |
Signature of | ||
candidate | to before me this | |
______ day of | ||
______, 20______. | ||
__________________ | __________________ | |
Residence address | Signature of election | |
official or officer | ||
authorized to | ||
administer oaths |
Each such declaration shall be subscribed and sworn to by the candidate before the election official receiving the certification, a notary public or other officer authorized by law to administer oaths.
§ 115.399, RSMo
Effective 6/13/1996