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<br />If filing for one of the following offices, I also swear (or affirm) that I meet the requirements listed below: <br />· United States Senator - I will be at least 30 years old and a citizen of the United States for nine years on the <br />first Monday of next January, or if filled at special election, within 21 days after the election. <br />United States Representative - I will be at least 25 years old and a citizen of the United States for seven years <br />on the first Monday of next January, or if filled at special election, within 21 days after the election. <br />Governor or Lieutenant Governor - I will be at least 25 years old on the first Monday of next January and a <br />resident of Minnesota for one year on election day. I am filing jointly with <br />Supreme Court Justice, Court of Appeals Judge, District Court Judge, or County Attorney - I am licensed <br />to practice law in Minnesota. My Minnesota attorney license number is <br />State Senator or State Representative - I will be a resident of Minnesota at least one year and of this district <br />for six months on the day of the general or special election. <br />County Sheriff - I am a licensed peace officer in Minnesota. My Board of Peace Officer Standards and Training <br />license number is <br />School Board Member - I have not been convicted of an offense for which registration is required under Minnesota <br />Statutes, section 243.166. <br />County, Municipal, School District, or Special District Office - I meet any other qualifications for that office <br /> <br />Pljbed by ""lJ oa. <br /> <br />/ p~t.~~nature <br /> <br />Subscrioed and sworn before me this <br /> <br />MINNESOTA AFFIDAVIT OF CANDIDACY <br />All information on this form is available to the public. <br />~f: ~.~ Selected information will appear on the Secretary of State's web site: WWW.sos.state.mn.us <br />~._ __ . Please print ortype. <br /> <br />~.iil58."'" Name (as it will appear on the ballot): <br /> <br />JER~Y F~Gt~t\tJ <br /> <br />./ <br /> <br /> <br /> <br />District # <br /> <br />For Partisan Office: <br />Political Party or Principle <br /> <br />For Judicial Office: <br />Name of Incumbent <br /> <br />Cov~ a.\ \ <br /> <br />Le al residence address optional): <br />Street ~dress <br />;;. oJ.. \ CoHAN S€ i3 IIICl <br /> <br />City,S~,gS~lll M~ SS\ \ ~ <br />Web site and/or e-mail address I . ..L <br />J .f''''~4t M.,,-i- W\V\ . W\ €c:l \C=\. OV'-e . V\-e ~ <br /> <br />Campai n contact information (optional : <br />Street address <br /> <br />City, State, Zip <br /> <br />Phone number <br />~, 49 ~ 1.;l.9 <br /> <br />For all offices, I swear (or affirm) that this is my true name or the name by which I am generally known in the <br />community. <br /> <br />If filing for a state or local office, I also swear (or affirm) that: <br />· I am eligible to vote in Minnesota; <br />· I have not filed for the same or any other office at the upcoming primary or general election; <br />· I am, or will be on assuming office, 21 years of age or more; <br />· I will have been a resident of this district for at least 30 days before the general election; and <br />· If a major political party candidate, I either participated in the party's most recent precinct caucus or intend to <br />vote for a majority of that party's candidates at the next general election. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />7/3 / ..LOa I <br />Date <br /> <br />3 <br /> <br />day of jV\,~ <br /> <br /> <br /> <br />. <br /> <br />. <br />NICHOLAS T. ENSRUDE I <br />NOTARY PUBLIC - MINNESOTA <br />My Comm. Expires Jan. 31.2005 <br />. <br /> <br />Notary public or other officer empowere <br /> <br />ledgments. <br /> <br />Rev. 4/00 Minnesota Statutes, section 2048.06 <br /> <br />white copy - Filing Officer <br /> <br />(Notary stamp) <br /> <br />yellow copy - CFPD <br /> <br />$S.~ <br /> <br />., J 3/ () I C ~denrod copy - Candidate <br /> <br />pink copy - Public Information <br />