Norris - Candidate Oath - 8-30-22 CANDIDATE OATH -
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NONPARTISAN OFFICE ._ ,s T D
(Do not use this form if a Judicial or School Board Candidate) j AUG 3 0 2022
Check box only if you are seeking to qualify as a
write-in candidate: Y- 6g6.
Write-in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a),Florida Statutes)
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(Print name above'-6s 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 c O(X(�,(, E O c 1 , A//i\— ,
J
(Office) (District#)
lV/ c 1 ; I am a qualified elector of "DV\, 1 County, Florida;
(Circuit#) (Group or Seat#)
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): I I 4-4-1
2
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.]
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Si!�ture 9f and'fate Telephone Number Email Address
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Address City State ZIP Code
STATE OF FLORIDA (40 y Alh
Du✓i ) Signature of Notary Public
COUNTY OF Du ( Print,Type,or Stamp Commissioned Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me by meanss of
online notarization [1 OR physical presence DONNA L.BARTLE
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this •�GimLk day of /T u vl.S 20 22-. MY COMMISSION#HH 085656P EXPIRES:May 14,2025
Fos:q: Bonded Thru
�—�/ Notary Public Underwri(ers
Personally Known I✓I OR Produced Identification n --•
Type of Identification Produced: N/rl
DS-DE 302NP(Rev.05/2021) Rule 1S-2.0001,F.A.C.