Unsworn Declaration in Lieu of Sworn Statement for Campaign Finance Reports
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Form Overview
This document is a form (DSEB-502R) issued by the Pennsylvania Department of State, Bureau of Campaign Finance & Civic Engagement. It serves as an Unsworn Declaration in Lieu of Sworn Statement for Campaign Finance Reports.
Legal Context
- Authority: Per Act 2020-15, signed into law on April 20, 2020.
- Purpose: Allows filers to submit campaign finance reports without notarization. Instead, the filer must sign this specific declaration form.
- Applicability: This specific form is to be used only for Campaign Finance Reports. Other forms (DSEB-503, DSEB-504, DSEB-505) have their own corresponding versions of this declaration.
- Requirement: The form must be signed by hand where a signature is required.
Filing Information
The form requires the filer to identify the reporting cycle for which they are filing. The available cycles include:
- Cycle 1: 6th Tuesday Pre-Primary
- Cycle 2: 2nd Friday Pre-Primary
- Cycle 3: 30 Day Post Primary
- Cycle 4: 6th Tuesday Pre-Election
- Cycle 5: 2nd Friday Pre-Election
- Cycle 6: 30 Day Post-Election
- Cycle 7: Annual Report
- Cycle 8: 2nd Friday Pre-Special Election
- Cycle 9: 30 Day Post-Special Election
Signature Requirements
The form is divided into two parts based on who is filing:
Part I:
- Who signs: The Treasurer (for Committee reports), the Candidate (for Candidate reports), or the Lobbyist (for contributing lobbyist reports).
- Declaration: The signer declares under penalty of perjury that the accompanying Campaign Finance Report is true and correct.
Part II:
- Who signs: The Candidate (specifically for reports submitted by a Candidate's Authorized Committee).
- Declaration: The signer declares under penalty of perjury that the accompanying Campaign Finance Report is true and correct.
Required Fields
For both signature sections, the following information must be provided:
- Signature of Treasurer, Candidate, or Lobbyist
- Date (DD/MM/YYYY)
- Printed Name
- Location (City/State/Country)
Contact Information
- Agency: Pennsylvania Department of State, Bureau of Campaign Finance & Civic Engagement
- Address: 210 North Office Building, Harrisburg, PA 17120
- Phone: 717. 787. 5280 (Option 4)
- Website: www. dos. pa. gov/campaignfinance
- Email: ra-stcampaignfinance@pa. gov
Document Version
- Form Number: DSEB-502R
- Last Updated: 1/22/2021