X…BIND HERE…X

Consolidated Primary Petition

(NONPARTISAN-MUNICPALITY OTHER THAN COMMISSION FORM)

We, the undersigned, qualified voters in the City of Aurora in the County of DuPage, Will or Kane
and State of Illinois, and residing at the place set opposite our respective names, do hereby petition that the name of
Matt Harrington, who resides at 3201 Andover Drive in the City, Town or Village
Of Aurora Zip Code 60504 County of DuPage State of Illinois, be placed upon the ballot as a candidate for nomination for
the office of Alderman at Large full term or vacancy (circle one) at the Consolidated Primary election to be held
on_________________ (date of primary); provided that no primary election is required, the candidate’s name will appear on the
ballot at the Consolidate Election for election to said office and term.

If required pursuant to 10 ILCS 5/10-5.1, complete the following (this information will appear on the ballot)

FORMERLY KNOW AS __________________________ UNTIL NAME CHANGE ON ____________________________

(List all names during last 3 years) (List date of each name change)
NAME STREET ADDRESS OR
CITY, TOWN OR VILLAGE COUNTY
(VOTER’S SIGNATURE) RR NUMBER
1
2
3
4
5
6
7
8
9
10

State of Illinois }
} SS.
County of Cook }
I, ____________________________, do hereby certify that I reside at ___________________________________. In the
(Circulator’s) (Street Address)
In the_____________________________ of ________________________________________, ____________________,
(City/Village/Unincorporated Area) (If unincorporated, list municipality that provides postal service) (Zip Code)
County of____________________, State of__________________ that I am 18 years of age or older, that I am a citizen of the United
States, and that the signatures on the sheet were signed in my presence, not more then 90 days preceding the last day for filling of
the petitions and are genuine and that to the best of my knowledge and belief the person so signing were at the time of signing the
petition registered voters of the political division in which the candidate is seeking elective office, and that respective residences are
correctly stated, as above set forth.
______________________________________________
(Circulator’s Signature)

Signed and sworn to (or affirmed) by ______________________________________ before me, on_________________________

(Name of Circulator) (insert month, day, year)

_______________________________________________
(SEAL) (Notary Public’s Signature)

SHEET NO._________