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<br />If filing for one of the followingoffie8$, I also swear (or affirm) that I meet the requirements listed below:
<br />· United States Senator - I will beat least 30 years old and a citizen of the United States for nine years on the
<br />first Monday of next January, or if filled at special election, within 21 days after the election.
<br />· United States Representative~1 will be at least 25 years old and a citizen of the United States for seven years
<br />on the first Monday of next January, or if filled at special election, within 21 days after the election.
<br />· Governor or Lieutenant Governor - t will be at least 25 years old on the first Monday of next January and a
<br />resident of Minnesota for one year on election day. I am filing jointly with
<br />· Supreme Court Justice, COurt of Appeals Judge, District Court Judge, or County Attorney -I am licensed
<br />to practice law in Minnesota. MY,Minnesotaattorney license number is
<br />· State Senator or State. Repres.htative - I will be a resident of Minnesota at least one year and of this district
<br />for six months on the day of the general or special election.
<br />CountySheriJf - I al1"\ alicens~ peace officer in Minnesota. My Board of Peace Officer Standards and Trainir-g
<br />IiCel1$emrtlberis .
<br />· SchpolBoatd Member -lhave not been convicted ohio offense for which registration is required under Minnesota
<br />Statutes, section 243.166.
<br />· County, Municipal, School Di$irict,or Special District Office - I meet any other qualifications forthat office
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<br />Candidate Signature Date
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<br />su~. '.. l~. a. n,d,sW<)mfef,or~me,'" ."this".. .,.IpD,', ik.. 0 {JI'.-". d,ayof ,J,- ~...L.i ' ,.-~ 005.
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<br />Notary public or other officer empowered to take and certify acknowledgments.
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<br />Rev. 4100 Minnesota Statutes, section 2048.06
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<br />;." '. MlNNESOTA'AFFIDAVIT OF CANDIDACY
<br />All information on tbis form is available to tbe public.
<br />Selected information will ap~ror'tbe Secretary of State's web site: WWW.sos.stBte.mn.us
<br />, Please print or type.
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<br />..... .,Name (as it will appear9n the ballot):
<br />@.o~. \)Et.I\-hc.CS .......
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<br />-. District #
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<br />For Partisan Office:
<br />Political Party or Principle
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<br />For Judicial Office:
<br />Name of Incumbent
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<br />\qb4~~('v~('.~ A\,e.. ,~.
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<br />Web site and/or e-mail address
<br />V,9'a \RA+ef') ~,~ \"'#'). <:.0"'"
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<br />City, State, Zipn
<br />'\LQ q!.~ !~"E. ""~
<br />Phone number Iq
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<br />c:..~ 1\
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<br />For all offie8$, I swear (or affirm) that this is my true name or the name by which I am generally known in the
<br />community.
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<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 noUiled forthe 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.
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<br />white copy - Filing Officer
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<br />yellow. copy ~ CFPD
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<br />goldenrod copy - Ganclidate
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<br />pink col>Y - Public Info~ation
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