There is a newer version of the Utah Code
2006 Utah Code - 20A-9-502 — Certificate of nomination -- Contents -- Circulation -- Verification.
20A-9-502. Certificate of nomination -- Contents -- Circulation -- Verification.(1) The candidate shall:
(a) prepare a certificate of nomination in substantially the following form:
"State of Utah, County of ______________________________________________
I, ______________, declare my intention of becoming an unaffiliated candidate for the political group designated as ____ for the office of ____. I do solemnly swear that I can qualify to hold that office both legally and constitutionally if selected, and that I reside at ____ Street, in the city of ____, county of ____, state of Utah, zip code ____, phone ____, and that I am providing, or have provided, the required number of signatures of registered voters required by law; that as a candidate at the next election I will not knowingly violate any election or campaign law, and that I will qualify for the office if I am elected to it.
__________________________________________
Subscribed and sworn to before me this ______(month\day\year).
__________________________________________
Notary Public (or other officer