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Candidate Oath- MartinezCANDIDATE OATH — NONPARTISAN OFFICE Do not use this form if a Judicial or School Board Candidate) 0 2 —1 1 -1 9 13 11 R C V D Check box only if you are seeking to qualify as a write -in candidate: ❑ Write -in candidate OFFICE USE ONLY Candidate Oath f (Section 99.021(1)(a), Florida Statutes) (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 El. (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 4�21 (Office) (District #) I am a qualified elector of 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): Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio bal�t as may pre used by perso�sjwith Isabilities (see instructions on page 2 of this form): [Not applicable to write -in candidates.] - - L i I V74 f D N _jb Tg% - N.e-,? I VIJ�o� LL _of/, Signature o ate Telephone Number Email Ad dregs Address city Stat ZIP Code STATE OF FLORIDA Signature of- lvt Ut�1ic COUNTY OF 1 _ Print, Type, or Sta Co missioned- ame of Notary Public below: Sworn to (or affirmed) and subscribed before me this r1 -^.►F� Noayy PubI1C State of Florfdm day of —tt' I 20 Ysab,ly t�vdriguea +� �� my Commission GG 244852 a &x re$ 1113 012 0 2 2 � Personally Known: or Produced Identification: u Type of Identification Produced: bvl V e,( c.` 5& DS -DE 302NP (Rev. 11/17) Rule 1S- 2.0001, F.A.C.