2012 Presidential Preference Primary in Missouri
Presidential Primary Candidate’s
Request Form
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primary ballot for the office of President of the United States of America on the ............................................ ticket, to be voted for at the presidential primary election to be held on the 7th day of February, 2012, and I further declare that I am at least thirty-five years of age, a natural born citizen and have been fourteen years a resident within the United States.
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I hereby swear or affirm that the information contained in the foregoing declaration of candidacy is, to the best of my knowledge, true.
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| Subscribed and sworn to before me this ............ day of ................................., 20__. | |
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Presidential Primary Candidate’s
Request Form [ PDF 
]
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