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190722 - Candidate Application - John L. CromptonRECEIVED ALL INFORMATION IS REQUIRED TO BE PROVIDE 2·2 1 Prescribed by Secretary of State Sec tion 141.03 1, Chapters 143 and 144, Texas Ele c tion Code 1/201 7 APPLICATION FOR A PLACE ON THE __ ___;:;___ ___ __.;.._o_u_n_c_1 __ GENERAL ELECTION BALLOT TO: City Secretary/Secretary of Board 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 Place 2 IKJFULL DuNEXPIRED FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT 1 John Leslie Crompton John L. Crompton PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural PUBLIC MAILING ADDRESS (Campaign mailing address, if available .) Route. If you do not have a residence address, describe the address at which you receive personal mail and location of residence .) 1515 Foxfire Drive 1515 Foxfire Drive CITY STATE ZIP CITY College Station TX 77845 College Station PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leave blank) DATE OF BIRTH STATE ZIP TX 77845 VOTER REGISTRATION VUID NUMBER (Optional) 2 CSJohnCrompton@gmail.com Professor, TAMU 07 16 / /1944 1040683422 TELEPHONE CONTACT INFORMATION (Optional) Home : (979) 696-0825 Work: Cell : (979) 845-5320 N/A LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN IN STATE IN TERRITORY FROM WHICH THE OFFICE SOUGHT IS ELECTED 3 _45_ year (s) ~year (s) __ month(s) __ month(s) 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 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. Before me, the undersigned authority, on this day personally appeared (name) __ J_o_h_n_L_. _C_r_o_m~p_t_o_n ______ , who being by me here and now duly sworn, upon oath says: PJ a..c~ 2 . "I, (name) Brazos County, Texas, being a candidate for the office of swear that I will support and defend the Constitution and laws qf the United States and of the State of Texas . I am a citizen of the Un States eligible to hold such office under the constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other official action. 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.