Tuesday, August 12, 2014

Republic of Texas 2014 Ballot

***2014 Voting Ballot*** 1st September 2014

(To be assigned by the Secretary of State's office official designee.)

Ballot No: ________

The republic of Texas

NATIONAL ELECTION BALLOT

SENATORIAL DISTRICT NO. 03

HARRIS, LIBERTY, AND GALVESTON COUNTIES

Instructions:

1. How to mark your Voting Ballot:

Mark an “X” on the line next to your candidate(s) choice for whom you are voting, ----OR---- Write in

your own name or a candidate’s name of your choice in the Write-In Section.

2. Write-in Candidates:

Write in the name of a candidate of your choice below the “Write-In Candidate” area. You may write

in your own name or a name of someone else, if you wish, for any position on the Ballot.

If you write in your name or someone else, YOU MUST attach to the Voting Ballot a Write-In

Candidate Information form. This form is located in the Election Tab of the website. A Ballot number

will be assigned by the National Election Judge or a designated official in the Secretary of State's

office.

Please read the “Candidate Eligibility” document in the Election Tab of the website.

3. District Offices:

All eligible voters who are domiciled in the jurisdictional republic of Texas counties for the district

where they are domiciled may vote for the Senate Seat candidate and Judicial District Office Seat

candidate or you may write-in a candidate. Read above instructions for write-in candidates.

4. County Offices:

All eligible voters who are domiciled in that named county may vote for House Representative(s), or

county positions as listed or may write-in a candidate’s name or if more than one position is

required you may write in one candidate’s name for each position.

5. CASTING YOUR BALLOT:

When you have completed your Ballot and Write-In Candidate form(s), if applicable, MAIL your

Voting Ballot plus your Write-In Candidate Information form(s) TO:

Billy D. Ford P. O. Box 280 Iola, Texas

www.texasrepublic.info

IMPORTANT NOTE: YOUR MAILED VOTING BALLOT MUST BE POSTMARKED NO

LATER THAN SEPTEMBER 2, 2014 TO BE ACCEPTABLE.

Failure to follow these instructions could disqualify your vote.

Page 1 of 4

***2014 Voting Ballot*** 1st September 2014

Ballot No: ________

(To be assigned by the Secretary of State's office official designee.)

The republic of Texas

NATIONAL ELECTION BALLOT

SENATORIAL DISTRICT NO. 03

HARRIS, LIBERTY, AND GALVESTON COUNTIES

DISTRICT OFFICES

JUDICIAL DISTRICT NO. 1 OFFICE

Clerk Of the District Court #1

Harris, Liberty, and Galveston, Counties

Write-In Candidate:

COUNTY OFFICES

HOUSE SEAT COUNTY OFFICES

Harris County – House Representative

_____________ Mike Wells

Write-In Candidate:

Galveston County – House Representative Write-In Candidate:

Liberty County – House Representative Write-In Candidate:

HARRIS COUNTY OFFICES:

Clerk of the Court: Write-In Candidate:

Sheriff: Write-In Candidate:

LIBERTY COUNTY OFFICES:

Chief Justice Judge: Write-In Candidate:

Clerk of the Court: Write-In Candidate:

Sheriff: Write-In Candidate:

Page 2 of 4

***2014 Voting Ballot*** 1st September 2014

(To be assigned by the Secretary of State's office official designee.)

Ballot No: ________

The republic of Texas

NATIONAL ELECTION BALLOT

SENATORIAL DISTRICT NO. 03

HARRIS, LIBERTY, AND GALVESTON COUNTIES

GALVESTON COUNTY OFFICES:

Chief Justice Judge: Write-In Candidate:

Clerk of the Court: Write-In Candidate:

Sheriff: Write-In Candidate:

Page 3 of 4

***2014 Voting Ballot*** 1st September 2014

(To be assigned by the Secretary of State's office official designee.)

Ballot No: ________

The republic of Texas

NATIONAL ELECTION BALLOT

SENATORIAL DISTRICT NO. 03

HARRIS, LIBERTY, AND GALVESTON COUNTIES

ATTENTION ELECTOR !!!

IT IS MANDATORY THAT YOU SUBMIT THIS PAGE WITH YOUR BALLOT WHEN VOTING !

This form is to ensure elector eligibility information only and will NOT be filed with your Ballot.

Mail this form with your marked Voting Ballot to:

Billy D. Ford

P. O. Box 280

Iola, Texas

PLEASE TYPE OR PRINT LEGIBLY

Full Name:___________________________________________

Physical Address:_____________________________________

City / County:________________________________________

Home Phone:_________________________________________

Cell Phone:__________________________________________

Age / Birth Year:______________________________________

Length of time domiciled in County (mos./years): __________

---------------------------------------------------------------------------------------

PLEASE SIGN BELOW PRIOR TO MAILING YOUR VOTING BALLOT FORM !

VOTER'S SIGNATURE:__________________________________________________

VOTER'S PRINTED NAME:_______________________________________________

DATE SIGNED:___________________________________________________

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