HomeMy WebLinkAbout84-009.. "~~., '•» aa~ ~~" Ui~l#~' :.O~F~ B,UTT~, S~T,a~A~T'E C7~' ~~AL~f=QF~N~
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~eso~ution ~o. 84-09
RESOLUTION AUTHORIZING COUNTY CLERK TO
LEVY A CHARGE FOR CANDIDATES STATEMENTS
WHEREAS, Section 10012 of the Elections Code of the State
of California permits candidates for elective office in any local
agency, city, county, city and county, or district to prepare a
candidates statement on a farm provided by the County Clerk to be
sent to each voter together with the sample ballot; and
t~
WHEREAS, said Section 10012 further permits a Local agency, ~
if it so chooses, to require each candidate availing himself of said
service to pay in advance his or her pro rata share of the estimated
costs of printing, handling, translating and mailing incurred by the
local agency as a result of providing said service; and
WHEREAS, the primary election will be held on June 5, X984,
and the general election will be held on November 6, 1984;
NOW, THEREFORE, BE IT RESOLVED that this Board of Supervisors
hereby authorizes the County Clerk to either require a'candidate,
availing himself of the service provided for by Section 10012 of the
Elections Code of the State of California in said elections, to pay
in advance his or her pro rata share of the estimated costs of
printing, handling, translating and mailing the candidates statement,
or to bill the candidate for his or her pro-rata share of the cost
of printing, handling, translating and mailing the candidates
statements. In the event of overpayment of the estimated costs,the
County Clerk shall pro rate the excess share among the candidates
paying estimated costs and refund the excess amount paid within 30
days of the election.
FURTHER BE IT RESOLVED that the County Clerk shall make
available the opportunity for a candidate to file an application, in
the form attached hereto as Exhibit A, in lieu of paying his or her
pro rata share of the estimated costs.
PASSED AND ADOPTED by the~Butte County Board of Supervisors
this 10th day of January, 1984, by the following vote:
AYES: Supervisors Dolan, Fulton, Moseley, Wheeler,
and Chairman Saraceni
NOES: None
ABSENT: None
NOT VOTING: None
~~C'
AL SARACE , Chairman of the
Butte County Board of Supervisors
ATTEST:
OM~RT~I~ ~TiCHOLS, C~ie~Administrative
a Cl~'~Ur c ,pf th/ Board
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The following form is to be used by persons who wish to
file a candidate's statement without payment of the requisite fee.
The standards to be considered in order to qualify a
prospective candidate as "indigent" are that the applicant demon-
strate that the payment of the requisite filing fee would deprive
the candidate, or his or her dependents, of the necessities of life.
The payment of the fee must impose on the prospective candidate mote
than a "burden" or "inconvenience".
Please keep in mind that this is an application. This
determination will occur before the prospective candidate statement
is placed with the ballot.
The attached affidavit is designed to supply the Board of
Supervisors with the information which is necessary to make this
determination as to the applicant's status.
If the fee is paid, the prospective candidate wi11 be
considered paid. The Application To File A Candidacy Statement
Without Payment Of Fees will thereafter not be considered, nor will
the paid fee be refunded.
APPLICATION TO FILE FOR CANDIDACY
STATEMENT WITHOUT PAYMENT OF FEES
I,
{applicant),
have read the above instructions, and I understand the standards to
be used to determine my qualifications as an "indigent". I hereby
apply to file a candidacy statement without payment of the requisite
filing fee, for the office of
I submit herewith the attached Affidavit in support of that application.
DATED:
signature
(this affidavit must accompany the application)
I,
depose and say that:
My address is
and my telephone number is ( ) (work) and
( ) (home). I am indigent.
I further state that the following declarations, which will
be used to determine my ability to pay the candidate statement fee
are true.
being duly sworn,
1. Are you presently employed? Yes No
A. If the answer is yes, state the amount of your
gross salary or wages per month and give the
name and address of your employer.
Gross salary or wages: $ per month.
Employer:
Address:
city state
B. If the answer is no, please state the dates of
your last employment, the name of your employer,
and the gross amount of the salary or wages per
month which you received.
Dates of last employment:
Employer:
to
Gross salary or wages: $ per month
2, Have you received, within the past twelve {12) months,
any income from a business, profession or other form of self employment,
in the form of rent payments, interests, dividends, or other source?
Yes No
during the past twelve (12) months.
3. Do you own, and control, any cash or checking ox
savings account? Yes No
A. If the answer is yes, state the location and the
total value of the items owned and controlled.
Description Amount Location
(branch of bank, etc.)
4. Do you own any real estate, stocks, bonds, notes,
automobiles, or other valuable property (excluding ordinary household
furnishings and clothing)? Yes No
A. If the answer is yes, please itemize and describe
the property and state its approximate value.
Description of Present Amount of Equity Owned
Property Market Value at This Time
are included, please state their ages.
Name
Relationship Age
6. If you are married, please state your spouse's employer,
if presently employed, and state the amount of your spouse's salary or
wages per month
Employer:
Address:
Gross salary or wages: $ per month.
7. Itemization of Income and Expenses.
A. Gross monthly income, including
welfare, unemployment, or other
aid: $
B. Less deductions for:
Income Tax-Federal
withholding $
Income Tax/State
withholding
Social Security
Unemployment Insurance
Medical Insurance
Union Dues, etc.
Retirement Fund
Other
TOTAL B $
C. Net monthly income (subtract B from A
scent for mortgage)
Food
Utilities: Telephone
Natural Gas
Electricity
Watex
Transportation
Clothing
Child Care
Other expenses necessary to
maintain employment (please specify)
Medical, Dental
Laundry
Incidentals
TOTAL $
E. Installment Debts.
Creditor Purpose of Debt Amount Due Monthly Payment
8. Did you pay a candidate's filing fee?
Yes No
9. Did you obtain signatures in lieu of pay a filing fee?
Yes No
my sraius as an inaig
candidate:
I understand that a false statement, or answer to any of
the questions in this affidavit will subject me to penalties for
perjury. I further understand that I may be required to assist in
the verification of any information which I have given in this
Affidavit.
signature of candidate
residence address
city or town and zip code
Note: If this affidavit is signed outside the Registrar-Recorder's
office, it must be notarized.
Subscribed and Sworn to before me this day of
I9
Notary
Registrar-Recorder
County of Butte