Candidate Oath Meltz (2)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
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, Jonathan Meltz
(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)
I am a qualified elector of Miami -Dade
(Circuit #) (Group or Seat #)
(District #)
County, Florida;
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): 10! 3 Z 2 D 1l
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.]
j-ou-n-aw-th-an melts
x V��p (786) 269-5630 JMeltz@bellsouth.net
SignerrefCandidate Telephone Number Ernail Address
157 NE 104 Street
Address
STATE OF FLORIDA
COUNTY OF Miami -Dade
Miami Shores
City
Sworn to (or affirmed) and subscribed before me by 5a-physical or
❑ online presence this 16th day of February 2021
Personally Known: V___"cr Produced Identification:
Type of Identification Produced:
SignatureF-of ffvt
Print, Type, or Stamp
Notary Public Slate of Florida
Ysabely Rodriguez
vti My Commission GG 244852
Expire3lf/30/2022
33138
ZIP Code
of Notary Public below.
tnay. uyldu/ Rule 1S-2.0001, F.A.C.