Candidate Oath WalshCANDIDATE OATH
NONPARTISAN OFFICE
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you
write-in candidate:
❑ Write-in candidate
1, pe, � e, r
are seeking to qualify as a
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
03-03-23P 04:31 RC VD P_
C•1.1.9'1
(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 V ► LEA t; C m c.lt� t rr, P ���e ✓�
(Circuit #) (Group or Seat #)
(Office)
(District #)
I am a qualified elector of _ M t itrv(' pi ��_ County, Florida;
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) l D 1 [ L ` �
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.]
Pe- eV- WAL-sN
x 7�4 - �V
t�
Signature of Candidate
50q �JE col S+
(A) _asl - -dyQ_
Telephon Number
f ,-,4 V L?r 4 �s F:L
Address City
STATE OF FLORIDA
COUNTY OF M10M.1
Sworn to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence
this day of r , 20
Personally Known ❑ OR Produced Identification
Type of Identification Produced: r i r ! e_
Signature i
Print, Type, or
J611She. I W0Airyhet, COWS
Email Address
ZIP Code
ub'
immissipned Name of Notary Public below:
Ysabelly "uet
Comm.: # HH MOOD
'!
Expires: November 30, 3036
Notary Public - State Of ftft i
DS-DE 302NP (Rev. 0812021) Rule 1S-2.0001, F.A.C.