PRIMARY ELECTION – U.S. SENATOR
COMPLETE ALL INFORMATION ON THIS PAGE PRIOR TO CIRCULATION (Petition filing deadline - before 4 p.m. of the 64th day before the primary election) (N.J.S.A.19:23-14) Total Number of Signatures on this Petition _________ Total Number of Signatures on all Petitions _________
PETITION OF NOMINATION FOR THE PRIMARY ELECTION
REPUBLICAN
_____________________ PARTY PETITION FOR UNITED STATES SENATOR 1000 Signatures Required (N.J.S.A. 19:23-8)
To The Honorable Secretary of State: (N.J.S.A. 19:23-6) Each signer of this petition certifies that the following statements are true: 1) I reside in the State of New Jersey; 2) I am a qualified voter of the State of New Jersey;
REPUBLICAN 3) I am a member of the ___________________________ party; 4) I intend to affiliate with the said party at the ensuing election; 5) I endorse the person named as candidate for the nomination of the office of United States Senator; and 6) I request that you cause to be printed upon the official primary ballot of the said party the name of said person as the candidate for such nomination. (N.J.S.A. 19:23-7).
Murray Sabrin 7) Name of Candidate: ___________________________________________________________________ (Name must appear the same on all petitions filed)
1500 Palisade Avenue
(Please print or type name)
Fort Lee, New Jersey
07024
___________________________________________________________________________________________________ Residence Address
City
Zip Code
______________________________________________________ _____________________________________________________________________ Post Office Address City Zip Code
COMMITTEE ON VACANCIES (The Committee on Vacancies may only fill a vacancy up to 55 days before the Primary Election) (N.J.S.A.19:23-12).
This Committee shall have power in case of death, resignation or otherwise, of the person endorsed as a candidate in said petition to fill such vacancy by filing with the Secretary of State, a certificate of nomination to fill the vacancy. Note: It is not mandatory to have a “Committee on Vacancies”. 8) The names and residence addresses of the three members named as a Committee on Vacancies are as follows: Name(s)
Residence Address
City
Zip Code
N/A
___________________________________________________________________________________________________________
N/A
___________________________________________________________________________________________________________
N/A
___________________________________________________________________________________________________________ (Please Print or Type Information in Above Spaces)
Page 1
PRIMARY ELECTION – U.S. SENATOR
CANDIDATE’S REQUEST FOR SLOGAN ON THE OFFICIAL PRIMARY BALLOT The candidate herein having been endorsed for the office mentioned in this petition, does hereby request that there be printed opposite the name of the candidate on the said primary ballot the following slogan: (Slogan must not exceed six words and must be in accord with N.J.S.A. 19:23-17. If slogan includes the name of any person other than the candidate or any incorporated association of this State, written consent must be attached.)
County
Slogan (Please Print or Type)
ATLANTIC
_______________________________________________________________________
BERGEN
_______________________________________________________________________
BURLINGTON
_______________________________________________________________________
CAMDEN
_______________________________________________________________________
CAPE MAY
_______________________________________________________________________
CUMBERLAND
_______________________________________________________________________
ESSEX
_______________________________________________________________________
GLOUCESTER
_______________________________________________________________________
HUDSON
_______________________________________________________________________
HUNTERDON
_______________________________________________________________________
MERCER
_______________________________________________________________________
MIDDLESEX
_______________________________________________________________________
MONMOUTH
_______________________________________________________________________
MORRIS
_______________________________________________________________________
OCEAN
_______________________________________________________________________
PASSAIC
_______________________________________________________________________
SALEM
_______________________________________________________________________
SOMERSET
_______________________________________________________________________
SUSSEX
_______________________________________________________________________
UNION
_______________________________________________________________________
WARREN
_______________________________________________________________________
Page 2
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 1.
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 2.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 3.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 4.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 5.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 6.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 7.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 8.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street) 9.
City
Zip Code
_______________________________________________________________________________________________ Signature
Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
10. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 3
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 11. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
12. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
13. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
14. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
15. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
16. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
17. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
18. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
19. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
20. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 4
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 21. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
22. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
23. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
24. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
25. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
26. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
27. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
28. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
29. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
30. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 5
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 31. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
32. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
33. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
34. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
35. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
36. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
37. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
38. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
39. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
40. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 6
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 41. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
42. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
43. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
44. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
45. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
46. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
47. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
48. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
49. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
50. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 7
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 51. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
52. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
53. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
54. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
55. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
56. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
57. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
58. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
59. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
60. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 8
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 61. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
62. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
63. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
64. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
65. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
66. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
67. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
68. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
69. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
70. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 9
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 71. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
72. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
73. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
74. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
75. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
76. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
77. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
78. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
79. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
80. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 10
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 81. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
82. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
83. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
84. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
85. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
86. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
87. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
88. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
89. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
90. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 11
Zip Code
PRIMARY ELECTION – U.S. SENATOR
SIGNATURE SHEET Signature and residence address of registered voter: 91. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
92. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
93. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
94. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
95. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
96. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
97. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
98. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
99. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Zip Code
100. _______________________________________________________________________________________________ Signature Print Name
_______________________________________________________________________________________________ Residence Address (Number and Street)
City
Page 12
Zip Code
PRIMARY ELECTION – U.S. SENATOR
AFFIDAVIT OF PERSON WHO CIRCULATES THIS PETITION AND WITNESSES SIGNATURES (N.J.S.A. 19:23-7)
The circulator/witness taking the affidavit below must be the person who obtained the names on this set of signatures or several sets of signatures. The circulator/witness must take the affidavit for each set he/she solicits and sign in the presence of a person authorized to administer affidavits (e.g., notary public).
State of New Jersey
: : ss.
County of
:
I, ______________________________________, being duly sworn, upon my oath say that such petition was made (Print Name of Circulator/Witness)
in good faith; was signed by each of the signers in his/her own handwriting; and that each signer is, to the best of my knowledge and belief, a legal voter of the State of New Jersey. Circulator Signed on Line: ________
Book Number: ________
Sworn and subscribed to before me in
_________________________________N.J., on
_____________________________________
(List County where Affidavit was signed and notarized)
(Signature of Circulator/Witness)
_____________________________________ this ___________________________ day of
(Residential Address of Circulator/Witness)
(Day)
_____________________________________ ______________, 20____ (Month)
(City or Town of Circulator/Witness)
(Year)
_____________________________________________________ (Notary Signature)
_____________________________________________________ (My Commission Expires)
QUALIFICATIONS FOR UNITED STATES SENATOR Minimum age requirement: 30 years by the day of the swearing into office Citizen of the United States for 9 years by the day of the swearing into office A resident of New Jersey by the day of the election
Page 13
(Zip Code)
PRIMARY ELECTION – U.S. SENATOR
Candidate Need Only Sign This Page Once for All Petitions
OATH OF ALLEGIANCE
State of New Jersey
: : ss. :
County of
I, _____________________________, do solemnly swear (or affirm) that I will support the Constitution of the (Print Name of U.S. Senate Candidate)
United States and the Constitution of the State of New Jersey; that I will bear true faith and allegiance to the same and to the Governments established in the United States and in this State, under the authority of the people. So help me God. Sworn and subscribed to before me in _________________________________N.J., on
_____________________________________
(List County where Oath was signed and notarized)
(Signature of U.S. Senate Candidate)
this ___________________________ day of (Day)
______________, 20____ (Month)
(Year)
_____________________________________________________ (Notary Signature)
_____________________________________________________ (My Commission Expires)
CERTIFICATE OF ACCEPTANCE TO BE SIGNED BY CANDIDATE (N.J.S.A. 19: 23-15)
I, the undersigned, hereby certify that I am a member of the ______________________________Party and qualified for the office. __________________________________________ (Signature of U.S. Senate Candidate)
____________________________________________________ (Printed or Typewritten Name of U.S. Senate Candidate)
____________________________________________________ (Residential Address of U.S. Senate Candidate) ____________________________________________________ (City or Town of U.S. Senate Candidate) (Zip Code)
Candidate Must Sign an Oath of Allegiance and Certificate of Acceptance
Page 14