We the undersigned registered voters of the city of ,
(for municipal elections)
in the county of , State of Tennessee, (and members of the (for primaries) ________ Party), hereby nominate.
(for municipal elections)
__ ,
County as a candidate (for nomination) for the office of
(for primaries)
to be voted in the election to be held on the day of , . We request that such candidate's name be printed on the official ballot.
This petition was issued by
(signature of administrator of elections, deputy or election commissioner)
TO BE COMPLETED BY CANDIDATE
I hereby direct that my name appear on the official ballot as follows:
PRINT NAME
(residential address of candidate) (zip) (telephone)
(business address of candidate) (zip) (telephone)
FOR CANDIDATES REQUIRED TO BE AN ATTORNEY:
By my signature, I hereby certify that I
am licensed to practice law in this state.
(signature of candidate)
SUPREME COURT REGISTRATION No.
NOMINATING SIGNATURES
(Must be registered voters who are eligible to vote to fill this office)
Signature of Voter Address of Residence as Shown on
Voter Registration
(address)
(division, part or district number)