16.1-12-02.1. Applicant's name placed upon ballot - Affidavit to accompany petition.

Upon receipt by the secretary of state of the certificate of nomination provided for in section 16.1-12-02 accompanied by the following affidavit, the secretary of state shall place the applicant's name upon the general election ballot. The affidavit may be filed electronically, through the mail, or by personal delivery, and must be in the possession of the appropriate filing officer before four p.m. on the sixty-fourth day before the general or special election. If the affidavit is filed electronically, the candidate shall retain the original copy. The affidavit must be substantially as follows:

State of North Dakota ) ) ss.

County of _ ) I, _, being sworn, say that I reside at _, in the city of _, in the county of _, state of North Dakota; and zip code of _; that I am a candidate for nomination to the office of _ to be chosen at the general election to be held on _, _, and I request that my name be printed upon the general election ballot as provided by law, as a candidate of _ party for said office. I am requesting that my name be listed on the ballot as I have identified my ballot name below. I understand that nicknames are allowed as part of my ballot name, but titles and campaign slogans are not permissible. I have reviewed the requirements to hold office and I certify that I am qualified to serve if elected.

Date _ Ballot name requested Candidate's signature Subscribed and sworn to before me on _, _ Notary Public NOTARY SEAL My Commission Expires _