HomeMy WebLinkAboutDSDE 302NPCANDIDATE OATH
RECEIVED
NONPARTISAN OFFICE
(Do not use this form If a Judicial or School Board Candidate) AUG 1
Check box only if you are seeking to quality as a write-in AUG 1013
candidate:
City Of Sebastian
Write-in candidate City Clerk's Office OFFICE USE ONLY
Candidate Oath
Name for Ballot: Sherrie / / Matthews t
First Middle Name/lnitiallandtor/Nickname Last Name Suffix
(See reverse side for Nickname Affidavit.)
I swear or affirm that I am a candidate for the nonpartisan office of Sebastian City Council
(Office) (District #)
I am a qualified elector of Indian River County County, Florida
(Circuit #) (Group or Seat #)
I am a qualified elector 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 once 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 Slates and the Constitution of the State of Florida.
Statement of Outstanding Fines, Fees, or Penalties
owe outstanding fines, fees, or penalties, that cumulatively exceed $250, for ethics or campaign finance violations (s. 99.021(1)(d), FS.).
YES, I Do NO, I Do Not X
If you do, you must also specify the amount owed and each entity that levied the same on the reverse side.
XV Nl (Ml.[�� l� (772 ) 473-6757 smatt06l8@comcast.net
Signature o an 1 ale Telephone Number Email Address
Sebastian FL 32958
Address of Legal Residence City State ZIP Code
STATE OF FLORIDA
COUNTY OF L110L 1 Q f% R 1V,( j
Sworn to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence
this o 44, day of /b," Q uS f . 20 23.
._r
Personally Known [9 OR Produced Identification ❑
Type of Identification Produced:
DS-DE 302NP (Eff. 12023)
W j
Public
Type, or
MY COMMISSION
EXPIRES 2-284027
Name of Notary Public below:
Rule 1S-2.0001, F.A.C.
Statement of Outstanding Fines, Fees, or Penalties
Pursuant to Section 99.021(1)(o), F.S., each candidate, whether a party candidate, a candidate with no party affiliation, or a
wdte-in candidate, shall, at the time of subscribing to the oath or affirmation, stale In writing whether he or she owes any
outstanding fines, fees, or penalties that cumulatively exceed $250 for any violations of s. 8. Art. it of the State Constitution, the
Code of Ethics for Public Officers and Employees under part III of chapter 112, any local ethics ordinance governing standards
of conduct and disclosure requirements, or chapter 106.
Amount
N/A
My legal name is Sherrie Matthews
contents of this affidavit are true and correct.
Enttty i �0
EGG•'8 102a
�fY Of
City r ` SebacAQ
so
kffice
Affidavit of Nickname
I am over the age of eighteen (18) and the
My nickname is N/A . I am generally known by this nickname or have used
It as part of my legal name. I have not created the nickname to mislead voters. My nickname does not Imply I am some other
person, constitute a political slogan or otherwise associate me with a cause or Issue, or that is obscene or profane.
Signature: J / 1 /at(.d.-w' )
STATE OF FLORIDA
COUNTY OF Tn d i OL" Kt v- CY
Swom to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence Ly/
this )O4l�l-, day of Lk.q USt ,20 23.
Personally Known OR Produced Identification ❑
Type of Identification Produced:
DS•DE 302NP (Eff. J2023)
nature of Notary P Ic
Print, Ty or Stamp Commissioned Neme of Notary Public below:
ON
E�XP(CROES2,28.202i
OF
Rule 1S-2.0001, FA.C.