Glasser - Candidate Oath - 08-25-20CAN DW A I h= CATH
L
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
ECE
D
YE
AUG 2 5 2020
1
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
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.
(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 purpos-s.)
am a candidate for the nonpartisan office of It \ C\A ar n' _ 1-�
(Office)
/ q \ ; I am a qualified elector of (11- q C' County, Florida;
(Cirri t ft) (Group or Seat #)
(District #)
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): ( U r Li z
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 e usd by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write-in candidates.]
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Sign .ure of Candidate
(--(:)
Address
i
STATE OF FLORIDA
COUNTY OF
'°lo`P Lf 1 'l -
Telephone Number
A-(a-nk(
City
Sworn to (or affirmed) and subscribed before me by
GAG C�
aSSC
C.
mail Address
physical or
online presence this 25 day of WO ILS ¥ , 20
Personally Known: or Produced Identification:
tJft
Type of Identification Produced:
State ZIP Code
Defrota.ve:devaiet
Signature of Notary Public
Print, Type, or Stamp Commissioned Name of Notary Public below:
•
DONNA L BARTLE
:wit? ; .4; MY COMMISSION # GG 078627
,A uEXPIRES: May 14, 2021
,'4'�" . ; .•'
1, Bonded Thru Notary Public Underwriters
3
DS -DE 302NP (Rev. 04120)
Rule 1S-2.0001, F.A.C.