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<br /> <br /># <br /> <br />MINNESOTA AFFIDAVIT OF CANDIDACY <br />All information on this form is available to the public. <br />Selected information will appear on the Secretary of State's web site: www.sos.state.mn.us <br />Please print ortype. <br /> <br />"yy\ c. 6-.JL-h e.. ~ <br /> <br />Office Sought <br /> <br />District # <br /> <br />For Partisan Office: <br />Political Party or Principle <br /> <br />For Judicial Office: <br />Name of Incumbent <br /> <br /> <br />C)yo- <br />Le al residence address 0 tional): <br />Street address d <br />-:r 1- m, & fA. k S. l.tA ~ e..." <br /> <br />City, State, ZiP, 0 So e...V ; II e.. m vJ ~-<b-II 3 <br />Web site and/or e-mail address <br /> <br /> <br />earn ai n contact information (0 <br />Street address <br /> <br />City, State, Zip <br /> <br />Phone number <br />IIJ- - <br /> <br />J-. ~, '1 3 <br /> <br />For all offices, I swear (or affirm) that this is my true name orthe 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 />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 />prescribed by law. <br /> <br />~~ 9l. /J'tA~ <br />Candidate Signature <br />.r'" <br />Sub ~ibed and swo~n before~e th!s II - <br />{ AA./\'''' Lh--I..t ti. A L NC~ <br />Notary publi r other officer empowered to take and certify acknowledgments. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />'1/Ill()3 <br />ate <br /> <br />...r . '7.: <br />day of J /,Llt.-/.J J..,bD..:J <br /> <br />AAGAf.\ef H. El~lseeLLI <br />NOTARY PUBLIC - MINNESOTA <br />My Comm. ''P''M ,"'. 31, 2006 <br />. <br /> <br />, <br /> <br /> <br />Rev. 4/00 Minnesota Statutes, section 204B.06 <br /> <br />white COpy - FilinQ Officer <br /> <br />II <br /> <br />yellow copy - CFPD <br /> <br />goldenrod copy . Candidate <br /> <br />pink copy - Public Information <br />