APPLICATION FOR CONSIDERATION AS A CANDIDATE FOR THE BOARD OF DIRECTORS OR DISTRICT DELEGATE

Under penalty of perjury, I, the undersigned, declare that I meet the requirements to submit my application and statement as a candidate for a position of District Delegate or Board of Directors (outlined on the nomination form mailed to you) for the upcoming annual election. I further agree that the information provided below is true to the best of my knowledge. I am also aware that my submission will be published to my community as submitted, including typos and omissions. (Email and phone will not be published). I will not hold HOA Elections of California responsible for the publishing of my information as I have submitted it. I understand that my statement is not considered received until acknowledged by a confirmation from HOA Elections and that it is my responsibility to follow-up on any submissions if I do not receive a confirmation. This submission may be revoked by the HOA Elections Inspector at any time if it is found to be fraudulent or my qualifications are discovered to be lacking according to my community governing documents.

Corporate Transparency Act disclosure - If elected, you may need to provide personal identifying information (PII) to the Financial Crimes & Enforcement Network (FinCEN)

Name of Your HOA?

What type of vote are you applying for:

Select ONE of the following

If District Delegate was marked above please enter the District name and/or number

First and Last Name:

Property Address:

Email:

Phone:

(###)

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Associations are required to disqualify persons from serving on the board if they are not members of the association (Civ. Code § 5105(b)).

Please check the box below after reviewing the Civil Code and your Association's Governing Documents.

I am a member of the above association and qualified to be a candidate for this election.

Are you currently a member of the Board or currently a District Delegate?

Yes

Please include a brief summary of your qualifications and why you would be a valuable addition if elected. To keep your association's election costs down we encourage you to keep your statements to 200 words or less. Please review your governing documents in the event that there is a word limit.

Date

YYYY

Digital Signature (Please type your legal name here as your digital signature)

IF YOU DO NOT RECEIVE AN EMAIL CONFIRMING RECEIPT OF APPLICATION WITHIN 48 HOURS PLEASE CONTACT HOA ELECTIONS AT INFO@HOAELECTIONS.COM TO VERIFY WE HAVE RECEIVED YOUR APPLICATION