ࡱ> 130[ Nbjbj 8iiiiN  ;;;;;OOOOcOwwwwwRRR $[!Z2;RRRRR2;;wwGR ;w;w R w L\F]0!r!!;8RRRRRRR22RRRRRRR!RRRRRRRRR Y : (ED-622JP--Justice of the Peace, Application for Appointment--Rev.4/12) -- [G\forms\ed-600's\ed-622jp.doc] FROM THE OFFICE OF THE SECRETARY OF THE STATE 165 Capitol Avenue, Ste 1000, Hartford, CT 06106 ______________________________________________________________________________ APPLICATION FOR APPOINTMENT TO THE OFFICE OF JUSTICE OF THE PEACE (By Town Electors who are Not Members of a Major Party) To the Town Clerk of the Town of Hampton 164 Main Street, PO Box 143 Hampton, CT 06247 Pursuant to Conn. Gen. Stat. 9-184c, I hereby apply for appointment to the office of Justice of the Peace for the Town of: Hampton Applicant's Name _________________________________________________________ Residence Address ________________________________________________________ Mailing Address (if different) _________________________________________________ Term of Office January 6, 2025 to January 2, 2029 The undersigned has not and will not have enrollment privileges in a major political party in the above town during the period beginning three months before August 1, 2024 and ending on the date of the appointment (during the first 15 business days of November, 2024). The undersigned will be an elector of the above town on the date of appointment. ______________________________________ ________________________ (Signature) (Date) NOTE: This application must be filed with the Town Clerk of said town on or after August 1, 2024 and on or before November 1, 2024 or the application will be void. In November, incumbent Justices of the Peace appointed under Conn. Gen. Stat. 9-184c who apply between August 1, 2024 and November 1, 2024 shall be reappointed if there are sufficient openings. If on November first the number of applications for Justice of the Peace filed with the town clerk under Conn. Gen. Stat. 9-184c, exceeds the number of Justices of the Peace allowed under that section, the town clerk shall, on or before the fifteenth business day of November, select the remaining applicants to be appointed as Justices of the Peace by lot in a ceremony which shall be open to the public and held on five days' public notice. klm 2 1 2 3 S [ M T U V W I > ? @ Q R ĸ짭쌌|섄sssshC?>*OJQJh>OJQJhC?OJQJh>hC?5>*OJQJ\h>5OJQJ\ hC?CJhC?5OJQJ\hC?hC?5OJQJhC?hC?5CJOJQJ hC?>*hB5OJQJhC?hC?5OJQJhC? hC?CJhC?CJOJQJ-klm 1 2 3 U V W ? $ a$  gd> $ a$ ? @ u v %&'N$`^`a$$ `^`a$ $ a$$ C^C`a$  $ a$ R T Z a r t u v !~4Ti%&'+,.BDTWYMNhvKCJOJQJhC?CJOJQJ hC?CJhC?5CJOJQJ\hC?5>*CJOJQJ\ hC?>*h%OJQJhC?hC?OJQJh~Ei5>*OJQJ\hC?5>*OJQJ\*6&P1:pd/ =!"#@$@%@ x666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontViV 0 Table Normal :V 44 la (k ( 0No List :: HeaderdCJ: : FooterdCJT>T Title$$$dHa$5CJ$OJQJkHB"B SubheaddHH 56CJ2 Number Listn & Fd>T h<.CJB Bullet 1n & Fd>T {CJR Bulletn & Fd>T vCJDbD Body SingledCJFOrF Default TextdCJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V (BO)MBT.$@0H!A>풠Uc-zD[&!rX=}zC0` ި%.]Ssd--7 +fOZեrŵVœ\lji2ZGwm-3˵j7\ Uk5FҨ-:xRkcr3Ϣ+9kji9OP Et-j|#p;E=Ɖ5Z2sgF=8 K}*7c<`*HJTcB<{Jc]\ Ҡk=ti"MGfIw&9ql> $>HmPd{(6%z:"'/f7w0qBcF6f Iöi1(\}B5ҹ~Bcr6I;}mY/lIz1!) ac 1fm ƪN^I77yrJ'd$s<{uC>== Ƌ(uX=WA NC2>GK<(C,ݖm: &-8j^N܀ݑ$4:/x vTu>g^*ٞn{M.zoi0HV|uv4<1>&ⶏVn.B>1CḑOk!#;Ҍ}$pQ˙y')fY?u \$/1d8*ZI$G#d\,{uk<$:lWV j^ZơSc*+ESa1똀 k3Ģxzjv3,jZU3@jWu;z \v5i?{8&==ϘNX1?  O4׹ӧCvHa01 %xz24ĥ=m X\(7Xjg !Ӆqd? cG7.`~w*?, 2 nN*"Fz_&n &\ F:l[+%f N %R N ? N 8@0(  B S  ?P ]a!@ D P 33333DFS[JTgh??Yalnrtvv!~.4&&''B D W Y M M P S[MTZart!~B D W Y M P C?vK~Ei>B%dOMN P @\\\\N X@UnknownG.[x Times New Roman5Symbol3. .[x ArialU&  Gill SansGill Sans MTQV   Broadway BTGabriolaC. Aptos Display3. AptosA$BCambria Math"LJLJLJ  !20I I 3@P $PC?2!xx/  Kaye Johnson Kaye Johnson Oh+'0x  ( 4 @ LX`hpKaye JohnsonNormalKaye Johnson3Microsoft Office Word@G@1@x@de/  ՜.+,0 hp  State of ConnecticutI   Title !"#$%&')*+,-./2Root Entry F L41Table!WordDocument8SummaryInformation( DocumentSummaryInformation8(CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q