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Download Nomination Petitions - IMPORTANT NOTICE
Nomination petitions must be printed as duplex (two-sided, front and back) on plain white
8 1/2" x 11" (letter-size) paper. This requirement cannot be satisfied by printing each side of the
duplex nomination petition on a separate sheet of 8 1/2" x 11" paper and affixing the two sheets together.
THE NOMINATION PETITION FORMS ATTACHED ARE BEING PROVIDED FOR THE PURPOSE OF SUPPLEMENTING
THE SUPPLY OF NOMINATION PETITIONS THAT YOU RECEIVED FROM THE BUCKS COUNTY BOARD OF ELECTIONS.
THESE FORMS ARE FOR CANDIDATES OF THE REPUBLICAN PARTY AND THE DEMOCRATIC PARTY ONLY.
CANDIDATES OF MINOR POLITICAL PARTIES AND POLITICAL BODIES MAY NOT UTILIZE THESE FORMS.
BEFORE DOWNLOADING OR PRINTING ANY OF THE NOMINATION PETITIONS ON THIS PAGE,
PLEASE READ THE FOLLOWING INSTRUCTIONS VERY CAREFULLY. FAILURE TO REPRODUCE
THE NOMINATION PETITIONS CORRECTLY MAY RESULT IN THE REJECTION OF THOSE FORMS.
1. All highlighted fields must be completed - type on-screen and print as noted in section 2.
2. Nomination petitions must be printed as duplex (two-sided, front and back) on plain white
8 1/2" x 11" (letter size) paper. This requirement cannot be satisfied by printing each side
of the duplex nomination petition on a separate sheet of 8 1/2" x 11" paper and affixing the
two sheets together.
3. Please read all instructions provided with the nomination petitions prior to circulation.
IF YOU HAVE ANY QUESTIONS OR ARE UNSURE WHETHER YOU HAVE CORRECTLY REPRODUCED ANY OF THE
FORMS ON THIS PAGE, PLEASE CONTACT THE BUCKS COUNTY BOARD OF ELECTIONS AT 215-348-6153.
The forms below cannot be altered. Any alteration to the forms may invalidate them.
IF YOU WOULD LIKE A RECEIPT FOR YOUR NOMINATION PETITION,
PLEASE BRING THIS COMPLETED FORM WITH YOU WHEN YOU FILE. THANK YOU.
Name: _______________________________________________________
Office: _______________________________________________________
District: ______________________________________________________
Filing Fee (if applicable): ________________________________________
01-01-15
PETITION - COUNTY OFFICE and MAGISTERIAL DISTRICT JUDGE - 2015
PAGE
of
Signatures must be procured within the legal period for securing same; and this Petition must be filed in the office of the County Board of Elections on or
before the last day prescribed by law. EACH SIGNER MAY SIGN PETITIONS FOR AS MANY CANDIDATES FOR EACH OFFICE AS HE CAN VOTE FOR, AND NO MORE.
COMMONWEALTH OF PENNSYLVANIA
PETITION
To have name of Candidate printed upon the Official Ballot for the Municipal Primary
We, the undersigned, all of whom are qualified electors of
, and are registered
(ELECTORAL DISTRICT IN WHICH THE NOMINATION OR ELECTION IS TO BE MADE)
and enrolled members of the
Party or Policy, hereby petition the
County Board of Elections of
County to have the name of
(TYPEWRITE, PRINT OR WRITE PLAINLY THE ABOVE NAME AS YOU WISH IT TO APPEAR ON THE OFFICIAL BALLOT)
Profession, Business or Occupation is
of Residence is
FOR OFFICE USE ONLY PLEASE
of
County and
, whose
, Place
,
(WITH STREET, NUMBER (WHERE POSSIBLE) AND ZIP CODE)
be printed upon the Official Ballot of the Aforesaid Party in the said District, for the Municipal Primary for
the year
, as a candidate for the Office of:
for a
(TITLE OF OFFICE)
year term.
SIGNERS ARE CAUTIONED TO AVOID THE USE OF DITTO MARKS
SIGNATURE OF ELECTOR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
PRINTED NAME
OF ELECTOR
HOUSE NO.
PLACE OF RESIDENCE
STREET or ROAD
MUNICIPALITY
DATE OF
SIGNING
SIGNATURE OF ELECTOR
PRINTED NAME
OF ELECTOR
HOUSE NO.
PLACE OF RESIDENCE
STREET or ROAD
MUNICIPALITY
DATE OF
SIGNING
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
AFFIDAVIT OF CIRCULATOR
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
SS:
Before me, the undersigned authority in and for said State and County, personally appeared the undersigned, who, being duly sworn according to law, did depose and say that he or she is
a qualified elector duly registered and enrolled as a member of the political party referred to in this petition; that his or her residence is as set forth below; that the signers to the foregoing
petition signed the same with full knowledge of the contents thereof; that their respective residences are correctly stated therein; that they all reside in the said political district; that each
signed on the date set opposite his or her name; and that, to the best of the deponent's knowledge and belief, the signers are qualified, registered and enrolled members of the designated
party of the aforesaid political district. (Underlined portion not applicable to Circulator for the office of Magisterial District Judge.)
Sworn to and subscribed before me
this ___________ day of _________________________ , 20_______
NOTARY STAMP
(SIGNATURE of CIRCULATOR)
(PRINTED NAME of CIRCULATOR)
(STREET ADDRESS, POST OFFICE and ZIP CODE of CIRCULATOR)
(MUNICIPALITY of CIRCULATOR)
(SIGNATURE of NOTARY)
(TELEPHONE NUMBER and E-MAIL ADDRESS of CIRCULATOR)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF BUCKS
FOR OFFICE USE ONLY PLEASE
BUCKS COUNTY BOARD OF ELECTIONS
CANDIDATE'S AFFIDAVIT
SS:
Before me, the undersigned authority in and for said State and County, personally appeared the undersigned, who,
being duly sworn according to law, did depose and say that his or her residence is as set forth below; that his or her
election district is as set forth below; that the name of the office for which he or she consents to be a candidate is:
(TITLE OF OFFICE, PARTY and LENGTH OF TERM)
that he or she is eligible for said office; that he or she will not knowingly violate any election law, or any law
regulating and limiting nomination and election expenses, and prohibiting corrupt practices in connection therewith;
that he or she is aware of the provisions of Section 1626 of The Pennsylvania Election Code requiring pre-election
and post-election reporting of campaign contributions and expenditures; and that he or she is not a candidate for
an office which he or she already holds, the term of which is not set to expire in the same year as the office subject
to the affidavit. Also that he or she is not a candidate for nomination for the same office of any political party other
than the one designated in this petition. (Underlined portion not applicable to Candidates for the offices of School
Director or Magisterial District Judge.) Any candidate for local office shall file a statement of financial interests for
the preceding calendar year with the governing authority of the political subdivision in which he or she is a candidate
on or before the last day for filing a petition to appear on the ballot for election.
A COPY OF THE STATEMENT OF FINANCIAL INTERESTS SHALL ALSO BE APPENDED TO THIS PETITION.
Sworn to and subscribed before me this
________________________________________________________
_____ day of ____________________, 20_________
Signature of Candidate
________________________________________________________
NOTARY STAMP
Party
________________________________________________________
Office/District
________________________________________________________
Printed Name of Candidate
________________________________________________________
Street Address/Post Office/Zip Code
(SIGNATURE of NOTARY)
________________________________________________________
City/Borough/Township
FILING FEES: Each person filing any nomination petition shall pay, for each
petition at the time of filing, a filing fee, and no nomination petition shall be
accepted or filed, unless and until such filing fee is paid by a certified check or
money order or also by cash when filed with the county board. Whenever a petition
is to be filed with the county board the person filing the same shall pay the filing fee
in cash or by certified check or money order to the county board. All moneys,
certified checks and money orders paid on account of filing fees shall be transmitted
by the county board to the county treasurer and shall become part of the General
Fund. Filing fees shall not be refunded for any cause whatsoever. No filing fee
shall be paid for any public office for which no compensation is provided by law,
nor for any public officer in any borough, town or township (of the second class)
nor any party officer except as provided nor for any nomination petition for judge
of election or inspector of elections.
County
________________________________________________________
Election District of Candidate
(District Where Registered To Vote)
________________________________________________________
Telephone Number
________________________________________________________
Daytime Number
________________________________________________________
E-mail Address
BUCKS COUNTY BOARD OF ELECTIONS
WAIVER OF EXPENSE ACCOUNT REPORTING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF BUCKS
Before me, the undersigned authority in and for said State and County, personally appeared the
undersigned, who, being duly sworn according to law, did depose and say that as a candidate, he or she
does not intend to form a political committee or to receive contributions or make expenditures in excess
of Two Hundred Fifty Dollars ($250) during any reporting period, that, as a candidate, he or she will keep
records of contributions and expenditures as required by law; that, as a candidate, he or she will file
reports as required by law if contributions or expenditures exceed Two Hundred Fifty Dollars ($250).
(Act No. 1980-127)
________________________________________________________
Signature of Candidate
Sworn to and subscribed before me this
________________________________________________________
_____ day of ____________________, 20_________
Party
________________________________________________________
NOTARY STAMP
Office/District
________________________________________________________
Printed Name of Candidate
________________________________________________________
Street Address/Post Office/Zip Code
________________________________________________________
City/Borough/Township
(SIGNATURE of NOTARY)
County
________________________________________________________
Election District of Candidate
(District Where Registered To Vote)
________________________________________________________
Telephone Number
________________________________________________________
Daytime Number
________________________________________________________
E-mail Address
FOR OFFICE USE ONLY PLEASE
BUCKS COUNTY BOARD OF ELECTIONS
INSTRUCTIONS FOR CIRCULATING NOMINATION PETITIONS
FOR COUNTY AND MUNICIPAL OFFICES
MUNICIPAL PRIMARY, MAY 19, 2015
-
MUNICIPAL ELECTION, NOVEMBER 3, 2015
FIRST DAY TO CIRCULATE AND FILE NOMINATION PETITIONS------------------------FEBRUARY 17
LAST DAY TO CIRCULATE AND FILE NOMINATION PETITIONS------------------------------MARCH 10
LAST DAY TO FILE OBJECTIONS TO NOMINATION PETITIONS-------------------------------MARCH 17
LAST DAY TO WITHDRAW AFTER FILING NOMINATION PETITIONS-----------------------MARCH 25
Candidates for Pennsylvania Judicial positions and for Judge of the Court of Common Pleas
of Bucks County must request their petitions and instructions from the Bureau of Commissions,
Elections and Legislation, 717-787-5280, www.dos.state.pa.us/bcel or [email protected].
************************************************************************************************************************************************************************************
The Bucks County Board of Elections will supply petitions, financial interest statements and
campaign expense reporting forms for candidates for County Row Offices, Magisterial District
Judge, School Director, Municipal Offices and Constable.
1.
PRIOR TO CIRCULATION
A.
All blank spaces which appear at the top of the front page of each nomination page must be
completed before signatures are obtained.
B.
Type or print the name of the candidate on the face of the petition exactly as the candidate
wants it to appear on the ballot. Given names must be used. Titles such as Dr, Mr. or Mrs.,
etc. are not permitted. A nickname is allowed only if it is a derivative of the legal given
name, unless an affidavit for primary ballot name change request is filed with our office.
C.
Check that the proper party, office title, municipality, ward and/or district (if applicable)
and length of term is set forth in the petition. The Board of Elections does not make
recommendations for length of term, if there is a choice. On School Director petitions,
state the party, office title, school district, region (if applicable) and length of term.
D.
The offices of Judge of the Court of Common Pleas, Magisterial District Judge and School
Director are the only candidates who are permitted to cross-file to run on both party tickets.
E.
The circulator may be the candidate or a qualified elector duly registered and enrolled as
a member of the political party referred to in the petition (unless the petition relates to the
nomination of a candidate for Magisterial District Judge, in which event the circulator need
not be a duly registered and enrolled member of the designated party).
F.
The statutory requirement, 25 P.S. § 2869, that requires the circulator of a nomination petition to
be a resident of the relevant political district named in the petition will not be enforced pursuant
to advice received from the Pennsylvania Office of the Attorney General in Villa v. Aichele, No.
13-cv-06374 (E.D. Pa. 2013).
Please note that while the Bucks County Board of Elections will not reject nomination petitions
on the basis that the circulator does not reside in the district specified in the nomination petition,
candidates should be aware that their nomination petition may be challenged in the Court of
Common Pleas on the basis that the circulator does not reside in the district.
Bucks County Board of Elections 55 East Court Street Doylestown, Pennsylvania 18901 215-348-6154
The Bucks County Board of Elections does not mail petitions.
Please arrange to pick them up in our office beginning early February 2015.
page 1 of 2
2.
3.
4.
SIGNERS
A.
Each signer may sign petitions only for as many vacancies as there are for each office.
B.
Each signer of a petition must be a registered and enrolled elector of the political district and
political party referred to in the petition. (Republican electors must sign Republican petitions;
Democratic electors must sign Democratic petitions).
C.
Each signer must personally insert the information concerning signature and printed name,
residence and date of signing, listing their address exactly as it appears on their voter registration
record. The date of signing may be expressed in words or numbers, e.g. February 19, 2015 or
02/19/15. Given names must be used by signers. Titles such as Dr., Mr., Mrs. are not permitted.
D.
Ditto marks are not permitted.
AFFIDAVITS
A.
The affidavit of circulator on each petition page must be signed by the circulator and
notarized after each page is circulated.
B.
The candidate’s Affidavit and Loyalty Oath must be signed by the candidate and notarized.
C.
The Waiver of Expense Account Reporting Affidavit is to be signed by the candidate and
notarized if he or she does not intend to form a political committee or receive contributions or
make expenditures in excess of $250.00 during any reporting period. However, if the candidate
either forms a political committee or collects or spends more than $250.00 during any reporting
period, the waiver is invalid. If the waiver is not completed, the candidate will be required to
file campaign expense reports at the scheduled filing dates.
D.
All applicable affidavits must be notarized. Each notarization must include the notary’s
signature and the notary’s official inked stamp indicating the commission expiration date and
municipality.
FILING
A.
All candidates must file a State Ethics Commission Statement of Financial Interest.
Filing deadline for the original is the same date as filing deadline for nomination petitions.
County Offices: Original is to be filed with the County Commissioner’s Office.
Magisterial District Judge: Original is to be filed with the County Commissioner’s Office.
School Director: Original is to be filed with the Secretary of the School District.
Municipal Offices: Original is to be filed with the Secretary or Clerk of the Municipality.
Constable: Original is to be filed with the Pennsylvania State Ethics Commission.
A copy of the financial interest statement must accompany the candidate’s nomination petition
when it is filed with the County Board of Elections.
B.
No nomination petition requiring a filing fee will be accepted for filing unless it is accompanied
by the requisite fee. Filing fees for petitions filed with the county Board of Elections may be
paid in cash, or by certified check or money order payable to Bucks County Treasurer. Note:
filing fees are not refundable for any reason.
C.
The Pennsylvania Election Code requires that all petitions to be filed with the County Board
of Elections must be received no later than the ordinary closing hour on the last day for filing March 10, 2015.
D.
Petitions for Bucks County offices, Magisterial District Judge, School Director, Borough
offices and Township offices must be filed in the office of the Bucks County Board of
Elections no later than 5:00 p.m. on March 10, 2015.
E.
Petitions for the office of School Director in the North Penn and Souderton School Districts,
and for Borough offices in Telford Borough, must be filed in Montgomery County.
MPI 01-01-15
page 2 of 2
BUCKS COUNTY BOARD OF ELECTIONS - OFFICES FOR NOMINATION
MUNICIPAL PRIMARY, MAY 19, 2015
-
MUNICIPAL ELECTION, NOVEMBER 3, 2015
FIRST DAY TO CIRCULATE AND FILE NOMINATION PETITIONS-------------------------------FEBRUARY 17
LAST DAY TO CIRCULATE AND FILE NOMINATION PETITIONS------------------------------------ MARCH 10
LAST DAY TO FILE OBJECTIONS TO NOMINATION PETITIONS--------------------------------------MARCH 17
LAST DAY TO WITHDRAW AFTER FILING NOMINATION PETITIONS------------------------------MARCH 25
PETITIONS FOR JUDICIAL OFFICES MUST BE OBTAINED FROM THE DEPARTMENT OF STATE,
210 NORTH OFFICE BUILDING, HARRISBURG, PA 17120. PLEASE DIRECT ALL INQUIRIES TO 717-787-5280,
www.dos.state.pa.us/bcel or [email protected]. THE BUCKS COUNTY BOARD OF ELECTIONS DOES
NOT HAVE THE AUTHORITY TO ANSWER QUESTIONS PERTAINING TO PETITIONS FOR JUDICIAL OFFICES.
PETITIONS TO BE FILED IN THE OFFICE OF THE SECRETARY OF THE COMMONWEALTH
IN HARRISBURG BY 5:00 P.M. ON MARCH 10, 2015 (LAST DAY TO FILE)
JUDICIAL OFFICES
TERM
SUPREME COURT
10 Years
SUPERIOR COURT
COMMONWEALTH COURT
COURT OF COMMON PLEAS 10 Years
SIGNATURES
1000 (100 Signatures in
each of at least 5 Counties)
250
FILING FEE
$200.00
$100.00
PETITIONS TO BE FILED IN THE OFFICE OF THE BUCKS COUNTY BOARD OF ELECTIONS
BY 5:00 P.M. ON MARCH 10, 2015 (LAST DAY TO FILE)
COUNTY OFFICES
COMMISSIONER
REGISTER OF WILLS
COUNTY TREASURER
CLERK OF COURTS
CORONER
TERM
4 Years
4 Years
4 Years
4 Years
4 Years
SIGNATURES
250
250
250
250
250
FILING FEE
$100.00
$100.00
$100.00
$100.00
$100.00
MAGISTERIAL DISTRICT JUDGE
07-1-01, 07-1-11, 07-2-02
6 Years
07-2-07, 07-2-08, 07-3-02
100
$50.00
SCHOOL DIRECTOR
2 or 4 Years
10
NONE
BOROUGH OFFICES
COUNCIL
TAX COLLECTOR
CONTROLLER (Morrisville)
AUDITOR
2 or 4 Years
2 Years
4 Years
2, 4 or 6 Years
10
10
10
10
NONE
NONE
NONE
NONE
1ST CLASS TOWNSHIP (BRISTOL)
COUNCIL
2 or 4 Years
10
NONE
BENSALEM TOWNSHIP
COUNCIL
AUDITOR
4 Years
2, 4 or 6 Years
10
10
NONE
NONE
2ND CLASS TOWNSHIP
SUPERVISOR
TAX COLLECTOR
AUDITOR
2, 4 or 6 Years
2 Years
2, 4 or 6 Years
10
10
10
NONE
NONE
NONE
CONSTABLE
6 Years
10
$10.00
NOTE: OFFICE INFORMATION SUBJECT TO CHANGE BEFORE FEBRUARY 17, 2015
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STATEMENT OF FINANCIAL INTERESTS
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ORIGINAL COPY
*
ADDITIONAL FILINGS
No additional
copy required
State Ethics Commission
Additional copy is not required to
be filed (unless serving in
multiple capacities, then file with
each entity as required)
No additional copy required
Additional copy is not required to
be filed (unless serving in
multiple capacities, then file with
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* FILER IS RESPONSIBLE FOR MAKING ANY ADDITIONAL COPIES.
BUCKS COUNTY BOARD OF ELECTIONS
CHECKLIST PRIOR TO FILING YOUR PETITION
For:
Candidates for County Office and Magisterial District Judge
FRONT OF PETITION
1)
Petition printing date must be 2015 or newer.
2)
Candidate information - All descriptive information must be completed.
3)
Signatures - A sufficient number of signatures is required.
It is recommended that you obtain more than the minimum.
4)
First date to obtain signatures cannot be earlier than February 17, 2015,
and the last date to obtain signatures and file petitions is March 10, 2015.
BACK OF PETITION
1)
Affidavit of Circulator must be signed and notarized after each page is circulated.
NECESSARY ATTACHMENTS
The Board of Elections cannot accept your petition without the following:
1)
Candidate’s Affidavit - must be completely filled out, signed and
notarized with the Notary’s current official inked rubber stamp.
2)
You may or may not need to complete the Waiver of Expense Account
Reporting Affidavit - please contact our office if you have questions.
3)
Statement of Financial Interest - photocopy.
Printing date on form must be 01/15 or newer.
4)
Filing fee where applicable: cash, certified check or money order (no personal checks).
IT IS THE CANDIDATE’S RESPONSIBILITY TO INSURE THAT:
1)
2)
3)
All signers are of the district and party named on the petition.
Circulator must be a member of the same political party as the candidate
(except for Magisterial District Judge.)
Statement of Financial Interest Original must be filed with the appropriate office.
1-1-15