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ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS ...

2-1 Pr escrib ed by Secretary of State Sections , , , , , , Texas Election Code09/2021 APPLICATION FOR A PLACE ON THE GENERAL PRIMARY BALLOT FOR A PRECINCT OR COUNTY CHAIR ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED AS OPTIONAL1 Failure to provide REQUIRED INFORMATION may result in rejection of application. APPLICATION FOR _____ CHAIR ON THE _____ PARTY GENERAL PRIMARY BALLOT (Precinct or County) (Democratic or Republican) To: County Chair I request that my name be placed on the above-named official primary ballot as a candidate for election to the office indicated below.

Soy consciente de que debo divulgar cualquier condena previa de un delito grave y, si he sido condenado, debo proporcionar prueba de que he sido indultado o liberado de otro modo de las discapacidades resultantes de dicha condena final por delito grave.

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