53970 09-13 Campaign Contribution Statement County or City Candidates xft: Fill out & sign online

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Click ‘Get Form’ to open the Campaign Contribution Statement in the editor.
In Section A, enter the candidate's name, the office they are seeking or currently holding, and their contact information including address and daytime telephone number.
Move to Section B and select the type of report you are filing (e.g., pre-primary, year-end) and fill in the election date, reporting period, and due date.
In Section C, certify the accuracy of your report by signing and dating it. Ensure that all required fields are completed.
If applicable, complete Schedule #1 by listing contributors who donated over $200 during the reporting period. Include their names, addresses, contribution dates, and amounts.
Review all entries for accuracy before saving your document. Once satisfied, you can print or share it directly from our platform.

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