HomeMy WebLinkAboutDSDE302NPCANDIDATE OATH
NONPARTISAN OFFICE RF�FI��o
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(Do not use this form If a Judicial or School Board Candidate) city
wCheck box rite -in Candidate:only
if you are seeking to qualify as a Qtl; ksbC f t
❑ Write-in candidate OFFICE USE ONLY
Candidate Oath
( (Section 99,021(1)(a), Florida Statutes)
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(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 �� �� 5 (L'i (� l t l 7 C Cy AA C ,
(Office) / (District #)
I am a �� qualified elector of �' � �r q (n i < L1 l U•C.V— 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, 2[[
Candidate's Florida Voter Registration Number (located on your voter information card):
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): [Not applicable to write-in candidates.]
x
Signature kandliate
4,7� U5i
Address
STATE OF FLORIDA
( -77), 71 3 «$3
Telephone Number
Se �iS l iu U1
City
COUNTY OF End i alf'I R t ✓t t'
Sworn to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence Z
this lkh dayoff /+I y149f 202z.
Personally Known L_I OR Produced Identification ❑
Type of Identification Produced,
Em it Adhdss I
f�l l,_MSV
State ZIP Code
Si ature of Notary Public
Pd Type, or Stamp Commissioned Name of Notary Public below:
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z : M2WO
DS-DE 302NP (Rev. 08/2021) STAl I�XX§111' Rule 1S-2.0001, F.A.C.
CANDIDATE 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
REEF/�RD
Cit,YofSer
' C'cr � �astion
Clfce
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
V� L r--f i O l Q (M S //.Tu v11 ® V- V
(Print name above as you wish if to hppear 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 SC' W cS I i 6 to Ci i (ocC C J ,
(Office) I (District #)
am a qualified elector of ( IA r) F e4 I/\ 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): —0 U i/ ✓ 8 I �) I
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): [Not applicable to write-in candidates.]
T-Ai -m-e b - I -N i - I -� -7 --'
X
Signature of C ndidate
1� z 3 Usl, 5u('�c A-5
Address l
STATE OF FLORIDA /�%
COUNTY OF zidf(an 9f W_r�
Telephone Number
se
City
Sworn to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence 0
this184t dayof kWO .20 .
Personalty Known ❑ OR Produced Identification
Type of Identification Produced: rl dh da DrNtY ltC en $f
Ems!l ddresU J
IFL '9z q S8
state ZIP Code
Signs reVottaryb(1c
Print, Type, or Stamp Commissioned Name of Notary Public below:
Daniel Garcia
VNotary Public
State of Florida
Comm# HH134946
-91 Expires 5/26/2025
DS-DE 302NP (Rev. 0512021) Rule iS-2.0001, F.A.G.