Nottingham - Candidate Oath - 9-1-22 CANDIDATE OATH -
NONPARTISAN OFFICE , R7" '"7 Tr)D
(Do not use this form if a Judicial or School Board Candidate)
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Check box only if you are seeking to qualify as a
write-in candidate: BY:
❑ Write-in candidate
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 purposes.)
am a candidate for the nonpartisan office of
(Office) (District#)
IAL-k , h ; I am a qualified elector of --10ve�( 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): 1 t .( 1 ?'s-V
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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Signature of Candidate Telephone Number Email Address l
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Address City State ZIP Code
STATE OF FLORIDA G adiZ&
i Signature of Notary Public
COUNTY OF DL�VC� 1 Print,Type,or Stamp Commissioned Name of Notary Public below:
Sworn to (or affirmed)and subscribed before me by means of
online notarization ❑ OR physical presence L"_! ;=oF'P."4 ;�•, DONNA L.BARTLE
MY COMMISSION#HH 085656
this 1' dayof S� e,rn bar 20 .- °' '"�
`^ �T4 :.-: EXPIRES:May 14,2025
EOFFyO Bonded Thru N
Personally Known Er OR Produced Identification ❑ otaryPublicUnderwriters
Type of Identification Produced: N/
DS-DE 302NP(Rev.05/2021) Rule 1S-2.0001, F.A.C.
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