Acknowledgement of Receipt BellinsonAcknowledgement of Receipt of Candidate Handbook
By signing this form, I acknowledge that I have received a complete copy of the 2023 Candidate
Election Handbook for Miami Shores Village, which contains the following documents relating to
2021 Miami Shores Village Election to be held on Tuesday, April 11, 2023:
➢ Informational Letters from the Village
Clerk
➢ Petition Forms
➢ Village Ordinances relating to election
➢ Qualifying Forms
➢ Treasurer Report Forms, Schedule, and
due date
➢ Miami -Dade County Documents
➢ Candidate and Campaign Treasurer
Handbook
➢ Florida Election Code- State Statutes
97-106
I further acknowledge that I have read and understand the following disclaimers:
Acknowledgement that the Package is a Summary of the Election Code Only:
The information contained herein is intended as a reference guide only. The Village Clerk's Office will
provide assistance to candidates; however, it is not the responsibility of this Office to interpret Florida
Statutes as prescribed by Florida Law. All information contained herein is current as of the date of
publication, October 2020.
Acknowledgement of the Responsibilities of the Qualifying Officer:
Pursuant to F.S. 99.061(7)(c), the Village Clerk, as filing officer, performs only a ministerial function
in reviewing qualifying papers. In determining whether a candidate is qualified, the filing officer shall
review the qualifying papers to determine whether all items required have been properly filed and
whether each item is complete on its face, including whether items that must be verified have been
properly verified (by oath or affirmation) pursuant to F.S. 92.525(1)(a). The filing officer may not
determine whether the contents of the qualifying papers are accurate.
Candidate:
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First Name
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Last Name
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Acknowledged By:
Candidate idate Signature
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Date