Candidate Oath MarinbergCANDIDATE OA. rl —
NONPARTISAN OFFICE
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(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
OFFICE USE ONLY
Candidate Oath
(Section 99.021 (1 )(a), Florida Statutes)
I, Daniel Marinberg
(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 Miami Shores Village Council
(Office) (District #)
I am a qualified elector of Miami -Dade 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): 114267166
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as ma be used by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write-in candidates.]
DAN-ye MER-en-buhrg
X (305) 528-6237 marinbergd a@gmail.com
Signature of Candidate Telephone Number Email Address
1550 N& 1-03 St Miami Shores FL 33138
Address City State ZIP Code
STATE OF FLORIDA`�
Signature of Notary Public
COUNTY OF T {� Gt I m &�XGh Print, Type, or Stamp Commissioned Name of Notary Public below:
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DS-DE 302NP (Rev. 04/20) Rule 1S-2.0001, F.A.C.