Nominee Withdrawal Notice

Document Overview

This is a legal form issued by the Blair County Board of Elections for use in Pennsylvania. It serves as an official Nominee Withdrawal Notice, allowing a candidate to formally remove their name from the ballot for the upcoming 2025 Municipal Primary election.

Key Details

• Jurisdiction: Blair County, Pennsylvania (Commonwealth of Pennsylvania).
• Election Date: May 20, 2025.
• Purpose: To officially record a candidate's decision to withdraw from the race before the primary election.

Required Information

To complete this form, the candidate must provide the following details:

• Name of Candidate
• Political Party affiliation.
• Office being sought.
• Term of Office.
• Municipality where the candidate is running.
• Signature of Candidate.

Notarization Requirements

The document includes a section for a notary public to verify the withdrawal. This section requires:

• A statement acknowledging that the candidate appeared before the notary and admitted the withdrawal was their own act.
• The date of signing (Day, Month, Year).
• The Signature and Official Title of the notary.
• The expiration date of the notary's commission.