HomeMy WebLinkAboutQualifying DocumentsCharter Section 2.02 - ELIGIBILITY
"No person shall be eligible to hold the office of council member
unless he or she is a qualified elector's in said city and actually
continually resided in said city for a period of one (1) year
immediately preceding the final date for qualification as a
candidate for said offi
I, /0 �' �,� , candidate for the office
of Council Member, meet the eligibility qualifications to hold office as
required in Section 2.02 of the City of Sebastian Charter, above.
Signature of Candidate
Sworn tom d subscribed before me this 01
2013.
Notary Publi ,��. State of Florida ESE A. MAIO ssion # EE 024350 October 5, 2014 SEAL u Troy Fain Insurance 800- 385 -7015
day of ,
*166.032 Electors. - -Any person who is a resident of a municipality, who has qualified as an elector of this
state, and who registers in the manner prescribed by general law and ordinance of the municipality shall be a
qualified elector of the municipality.
Als- word/election/charter eligibility
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
O1�/Ce
i, v� /�1,
candidate for the office of I?�
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X
Signature of Candidate
Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS -DE 84 (05/11)
DS -DE 25 (Rev. 5111) Rule 1S- 2.0001, F.A.C.
REc����Q
CANDIDATE OATH -
NONPARTISAN OFFICE
c, 1162,6 p
C�hYof's�b�stt13
�cE
(Not for use by Judicial or
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
Ae, e A
A
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT ' - -1NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of
(office) (district #)
I am a qualified elector of -fin d! V ul�e Y"' 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.
Signature of Candidate Telephone Number E ail Address
Address - City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card):
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
6- �j - - - tf� --� = L-�t - i�
STATE OF FLO DA
COUNTY OF 42/--
Sworn to (or affirmed) and subscribed before me this CXU•— day of , 20 /3
�----
Personally Known: or
Signature No Public
of
Produced Identification: Prin . -Name of Notary Public
1ri::P' • SALLY A. CVIAIO
Cornmission # EE-
Type of Identification Produced:'; I '
:o Expires October .
Hooded Thru Troy Fain insurarK,e .
DS -DE 25 (Rev. 5111) Rule 1S- 2.0001, F.A.C.
CITY OF SEBASTIAN
CITY CLERK'S OFFICE /, U p O
RECEIPT 4
Name ❑ Cash
Date llheclkl Q / l
No.
001001
208001
Sales Tax
001501
322900
Garage Sales
001501
341920
Copies /Bid Specs.
001501
341910
LDC /Code of Ordinances
001501
341930
Election Qualifying Fees
601010
343800
Cemetery Lots
LoUNiche , Block , Unit _
001501
343805
Cemetery Fees
Amount Paid
Total Paid
lgtmfs
White — Dept. of Origin • Yellow — Finance • Pink - Applicant