Statement of Personal Expenditures by a Candidate

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Please Print Form and Submit Original Signed form to the Town Clerk's Office following electronic submission.
This form is for the use by a candidate who has not received any contributions, but has made expenditures of personal funds.
REPORTING PERIOD:
Detailed Report of EXPENDITURES


I certify to the best of my knowledge this Statement of Expenditures is true and correct.

Canididate's signature: _________________________________________________ Date: ___________________


NOTE: After hitting "Submit and Print", use Internet print function to print page, then MUST HIT "CONTINUE" to submit electronically.
Submit Original Signed form to Town Clerk after submitting electronically
 
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