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<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 or type. <br /> <br />Name (as it will appear on the ballot): <br /> <br />--r;~M-,-/ <br /> <br />Rsl- <br /> <br />Office Sought <br /> <br />,u <br /> <br />District # <br /> <br />For Partisan Office: <br />Political Party or Principle <br /> <br />For Judicial Office: <br />Name of Incumbent <br /> <br />aY <br /> <br />Legal residence address (optional): <br />Street address <br /> <br />Web site and/or e-mail ~gAress <br />WcA..JeA). u "r~ ~A <br /> <br />,-- <br /> <br />Campaign contact information (optional): <br />Street address '{I' ft <br /> <br />City, State, Zip /7 . k <br />/l...O<;~( /l ~ <br />Phone numbe <br />1.1 "51 4<6L/ - ?-5'l <br /> <br />"3 <br /> <br />City, State, Zip <br /> <br /> <br />55/13 <br /> <br /> <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 />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 />Count.y, MuniCiP~al School District, or Special District Office - I meet any other qualifications for that office <br />prescn~bd w <br /> <br />~ ~tf)LOO3- <br />and I te Signature D q).te <br /> <br />s~andswom:ore~;this~;rOf :rUl 4 r=~rf' <br /> <br />---.l...-d ~"N', '- '. ~ ~ ..""""_....,.,._ ~ <br />Notary public or other officer empowered to take and certify acknowledgments. .WWV\.........^.......~...._..............vwwJ <br /> <br />Rev. 4/00 Minnesota Statutes, section 2048.06 (Notary stamp) <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />white copy - Filing Officer <br /> <br />yellow copy - CFPD <br /> <br />goldenrod copy - Candidate <br /> <br />pink copy - Public Information <br />