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CANDIDATE’S DECLARATION
OF INTENT
I hereby
swear and affirm this declaration of intent without reservation or equivocation before a
Notary Public that:
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I will
work actively and expeditiously by my best efforts to bring the
Citizens' Initiatives Constitutional Amendment for United States Initiatives and a
United States Citizens' Initiatives Assembly (described on the
Internet at
www.InitiativesAmendment.org) before the assembly for which I am an elected representative
or candidate.
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I will vote
in favor of its passage and ratification without impediment. I will encourage other members of my assembly to do likewise.
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I will
publicly confirm this declaration of intent to my constituents by
publishing an image of it in a newspaper and stating it in my platform
so there can be in no doubt as to my position.
Signed:
Date:
Witnessed: Date:
PRINT IN
BLOCK CAPITALS
First Name:
Last Name:
Elected Representative
or Candidate Status:
Assembly Name:
Assembly Jurisdiction:
I, a qualified and
currently licensed Notary Public, do hereby certify that this
declaration of intent was
sworn and affirmed before me by the person named above with proper
identification at the location and on the date I describe:
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