HomeMy WebLinkAboutMarlon Bolton - Oath of CandidacyCANDIDATE OATH -
NONPARTISAN OFFICE
2016 JUN 20 PM 3: 21
(Not for use by Judicial or
School Board Candidates)
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OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
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(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT' -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of
(office) (district #)
I am a qualified elector of 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 FI rida.
andidate Telephone Number Email Address
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Address City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): T�g / ?( j/
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 this form):
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STATE OF FLO
COUNTY OF
Sworn to (or affirmed) and subscribed before me this 2f day of ��� , 20_yp.
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Personally Known: or
6�� Signature of Notary Public
Produced Identification: Pri t S ary Public
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Type of Identification Produced: a�� ': Notary Public - State of Florida
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- Commission # FF 904471
dP;= My Comm. Expires Aug 25, 2019
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DS-DE 25 (Rev. 5/11) Rule 1S-2.0001, F.A.C.