Candidate Oath MeltzCANDIDATE OATH —
NONPARTISAN OFFICE 02 -15- _2 1 1 7 : 35 R C vD
(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 #)
tursrncr ;F)
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):
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.]
i-ou-n-aw-th-an melts
X
Signature of Candidate
157 NE 104 Street
(786)269-5630
Telephone Number
Miami Shores
Address City
STATE OF FLORIDA
COUNTY OF Miami -Dade
Sworn to (or affirmed) and subscribed before me by la physical or
❑ online presence this 16th day of February 2021
Personally Known: �or Produced Identification:
Type of Identification Produced:
Sig natu rd-oUNvl
Print, Type, or Stamp
Jmeltz@bellsouth.net
Email Address
33138
ZIP Code
D,
Md Na of Notary Public below:
Notary Public State of Florida
r� Ysabely Rodriguez
�S My Commission GG 244652
>k Expires 11/30/2022
DS-DE 302NP (Rev. 04/20) Rule 1S-2.0001, F.A.C.
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:
0 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 I ,
(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):
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.]
-ou-n-aw-th-an melts
Sign re of Candidate
157 NE 104 Street
Address
STATE OF FLORIDA
COUNTY of Miami -Dade
(786) 269-5630
Telephone Number
Miami Shores
City
Sworn to (or affirmed) and subscribed before me by [D/physical or
❑ online presence this 161h day pf February , 2021
Personally Known: V___"or Produced Identification:
Type of Identification Produced -
J me ltz c@bellsouth. net
E"mai! Address
33138
ZIP Code
Print. Type, or Stamp -d N"_ of Notary Public below.
t
�NOtary public Sane of FIQ1160
. YsBbely Rodriguez
F,ly CornmWsion GG 244052 `
4 Exo4ev ttr7012022
DS-DE 302NP (Rev. 04120) ��"