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<br />r <br /> <br />MINNESOTA AFFtDAVITOFCANDIDACY <br />All information on this form is available to the public. <br />$elBcted informatiqnwill appear on the Secretary of State 's web site: www.$>s.state.mn.us <br />Please print or type. <br /> <br />.' <br /> <br />Name (as itwiU appear on the ballot): <br /> <br />::J~Y ....ANkFf.>U N <br />Offices~upht /1 .. '. ... <br />(~ It .tlJlA ~Lt! t L <br /> <br />District # <br /> <br /> <br /> <br /> <br />For Partisan Office: <br />Political Party or Principle <br /> <br />For Judicial Office: <br />Name of Incumbent <br /> <br /> <br />Street address <br /> <br />City, State, Zip <br /> <br />Pho1; ;nr~r & fp. - -; Cj q <br /> <br />For aU offices, I swear (or affir ) 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 lo.cal 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 />If filing for one of the following offices, I also swear (or affirm).thafl meet the requirements listed below: <br />· Ul;'litecl States. Senator -I willbe at least 30 years old and a citizen of the United States for nin'9 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 LieutenantGovernor -I will beat 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 />SUP~me Court Justice, Court of Appeals Judge, District Court Jl.tdge, o.rCounty Attorney - I am licensed <br />to practice law inMinnesota. My Minnesota attorney license number is <br />State 5e.nator or State Representative - I will be a resident of Minnesota at. least one year and of this district <br />for six months onthe 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 />ounty, MUnicipal, School District, or Special District Offlce- I meet any other qualifications for that office <br />p ri ~ a <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br /> <br />. <br /> <br />z..../R-- <br /> <br />ti th C\ l ". I ''''5./. <br />day of ''ilA.i~1 ~v <br />\ Iv {j <br />to take and certify acknowledgments. <br /> <br /> <br />\ <br />Rev. 4/00 Mi!'lneS$Sta Statutes, section 2048.06 <br /> <br />....,;;""'" <br /> <br />white copy -' Filing Officer <br /> <br />yellow copy - CFPD <br /> <br />(Notary stamp) . <br /> <br />goldenrod copy - Candidate <br /> <br />pink copy - Public Information <br />