Illinois General Assembly - Illinois Compiled Statutes

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10 ILCS 5/7-10.1

(10 ILCS 5/7-10.1) (from Ch. 46, par. 7-10.1)

Sec. 7-10.1.

Each petition or certificate of nomination shall include as a
part thereof, a statement for each of the candidates filing, or in whose
behalf the petition or certificate of nomination is filed, said statement
shall be subscribed and sworn to by such candidate or nominee before some
officer authorized to take acknowledgment of deeds in this State and shall
be in substantially the following form:

United States of America )
) ss
State of Illinois )

I, .... do swear that I am a citizen of the United States and the State
of Illinois, that I am not affiliated directly or indirectly with any
communist organization or any communist front organization, or any foreign
political agency, party, organization or government which advocates the
overthrow of constitutional government by force or other means not
permitted under the Constitution of the United States or the constitution
of this State; that I do not directly or indirectly teach or advocate the
overthrow of the government of the United States or of this State or any
unlawful change in the form of the governments thereof by force or any
unlawful means.

.......................

Subscribed and sworn to by me on (insert date).

.......................

(Notary Public)

My commission expires: .....

(Source: P.A. 91-357, eff. 7-29-99.)