2016 GENERAL ELECTION CANDIDATE WITHDRAWAL (CAN-24)
V7) Stato Form 46446 (R13 / 9-15)
7” Indiana Election Division
(WC 9.22.27, 5.8-2-2.6-4; 9-6-5105, 285445, 960-195, 38-7-17, 967-20, 887-21, 86-7-28)
|WSTRUCTIONS: This frm Is used by @ nominee chosen na primary, nomlnaed by pein, oF chosen by a convontin who vlshos to remavo the
‘mine's name fom th general econ bat Ths form Is also used by a wien candidte vo wishos fo withdraw,
DEADLINE: Excopt a oaro provid bylaw tls witha must bo roolod by the off wi whom the Deseralion of Canedacyor Paton
‘of Nomination was fled (event court lot ar the Inlana Eiaction Divison) by NOON, duly 1, 2016, 1 nominated t tho primary election, party
‘convention, or by petion of nomination, A wien candidat (for an ofc thar tran schoo! boar} must le this fom by NOON, July 15,2016,
For School Board offic: A school board cancldate (cucng a wt n cana for that ofco] must fl this form by NOON, August 28, 2046
For Small Town offic: A candidate who files a decarallon of cendacy fora toxm afce Ina town vth a population of less than 3,600 may
‘vithdtaw by fing ths sttement by NOON, August 1, 2016. A candidate nominal by a town converion musta this wihdraval wih the creat
court cork o town election board ne ater than NOON, 3 dys alter the adjournment of re foun convention, A candidate for ly cc fown ofc in a
‘muniipalelecon your ses CAN-46 form o wat
To the Clerk of NIA, ‘rcuit Court, the Lake or Tippecanoe County Board of
Elections and Registration, or Indiana Election Divisior
cr ‘CANDIDATE WITHDRAWAL
wh Eric Holcomb the undersigned,
Tsar as on pres Hl canny
withdraw as candidate of tho __ Republican Party for nomination fo the office of
Lieutenant Governor , District, (if any) to be veted orca the
fed one
_goneral election to be held on November 8, 2016,
(2) My resdence addross Is
8530 Silverleaf Court Indianapolis Indiana__=46278-
Comploto Residenea Adare Wun Be rwored cy BP css
erlc 98-717 op 2-87 Sets cal acne aah scies aadier
loned-party for this offic,
P7 1E [6 (_317_ 252.4545
Signal ata Signed (uDor "alaane Number
CERTIFICATE OF ACKNOWLEDGMENT a
STATE OF INDIANA y ira,
)ss: Ca
couryor. Marion ie ely
‘Before th wederlgned, enor pl for ote oficerauthorizod fo eke acknewidgments)nandtor PSO
uny andthe Stat of Ind, personaly appoered
2 the dbove named canta, at achnowfodged the exceuton
fe abo ae forego nstument Winest my hand wn oft ea hie Se" dy of, 2016.
Nolary Pubic or Otnor Offical Administering Oath according to 1G 99-42-4-4
My Commson expe (apps ony o Notary Pub anny of since