HomeMy WebLinkAboutDSDE302NP ANDIDATE OATH
NONPARTISAN OFFICE RF�EI�ED
,Q]a;;
(Do not use this form if a Judicial or School Board Candidate)Check box only
write-in candidate:
ityClolf you are seeking to qualify as a cCity of ks U
w
❑ Write-in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, Sherrie Matthews
(Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no
hyphen, check box ❑ (see page 2 - Compound Last Names). No change can be made after the end of qualifying.
Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.)
am a candidate for the nonpartisan office of Sebastian City Council Member I ,
(Office) (District #)
;I am a qualified elector of Indian River 171 County, Florida;
(circuit #) (Group or Seat #)
I am qualified under the Constitution and the Laws of Florida to hold the office to.which I desire to be nominated or elected; I
have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office
I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes;
and I will support the Constitution of the United States and the Constitution of the State of Florida.
Candidate's Florida Voter Registration Number (located on your voter information card): 104599836
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as maybe used by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write-in candidates.]
SHer-e Math-yoos
10 X � *-L-4�(772) 473-6757 smatt06l8@comcast.net
Signature of Candidate Telephone Number Email Address
800 Yearling Trl Sebastian FL 32958
Address City State ZIP Code
STATE OF FLORIDA y W.til� tiUWYI�
_ ,r� i ature of Notary Public
COUNTY OF L hdi a-vx 1 V i—ir P . Type, or Stamp Commissioned Name of Notary Public below:
\\\
Sworn to (or affirmed) subbsscdbedpbefore me by 1presence means� ? `\\'_ NE ?q•• 'y//�
online notarization NRY
this day of / 11kj as t , 20 Zz .
s*�
Personally Known OR Produced Identification ❑ �
• W02It3tf
Type of Identification Produced: ��•�'�:,f,Mi Mwt;;.•���
DS-DE 302NP (Rev. 0812021) ////t�trrrrrttt\\\\\ Rule 1S-2.0001, F.A.C.
ANDIDATE OATH
NONPARTISAN OFFICE
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a
write-in candidate:
❑ Write-in candidate
RECEIVED
2 2022
Citi, 01SebaS;1,,;,
OFFICE: USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, Sherrie Matthews
(Print name above as you wish it to appear on the ballot. if your last name consists of two or more names but has no
hyphen, check box ❑ (see page 2 - Compound Last Names). No change can be made after the end of qualifying.
Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.)
am a candidate for the nonpartisan officeofSebastian City Council Member
(office) (District #)
I am a qualified elector of Indian River County, Florida;
(Circuit N (Group or Seat #)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I
have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office
I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes;
and I will support the Constitution of the United States and the Constitution of the State of Florida.
Candidate's Florida Voter Registration Number (located on your voter information card): 104599836
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as may be used by persons with disabilities (see instructions on page 2 of this form): [Notapplicable to write-in candidates.]
X (772) 473-6757 smatt0618@comcast.net
Signature of Candidate Telephone Number
Email Address
800 Yearling Trail Sebastian
FL 32958
Address city
State ZIP Code
%J
%r�Q�CI
STATE OF FLORIDAf
Vh/Z
NotaC�
Si ature ory Public
_ J
COUNTY OF J—ll d i l..ko e l Ve-r
Print, Type, or Stamp Commissioned Name of Notary Public below.
Swornto (or affirmed) and subscribed before me by mealnss of
`��gN11111111////j
`���' :TE
online notarization ❑ OR physical presence LJ
r�al�y?��'ar-•,
this 2-Z dayof 11r10'l 1 202Z.
*/ •• H �_
Personally Known Q OR Produced Identification ❑
r ; o�
4••?rP
Type of Identification Produced:
4�4� «;,,,..• F•����
DS-DE 302NP (Rev. 0812021)
Ittn `' Rule 1S-2.0001, F.A.C.