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<br />If filingfo,rone 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 />firstMonday 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 electi()n, within 21 days after the election. <br />Govel'nor orLieutenantGovemor-J will beat least 25 years Old on the first Monday of next January a,nd a, <br />resident of Minnesota for one year on election day. I am filing jointly with <br />SuprelJl8 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 oHhis district <br />for six months on the day of the general or special election. <br />County Sheriff- ',am a licensed peace officer in Minnesota. My Board ,of Peace Officer Standards and Training <br />Iicer1se 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 Qistrict Office-I meet any other qualifications for that office <br />preSCribed", by la, w, . .',.. /, <br />~l~/h. .. .~~ /{,. 7/1C? [?is-" <br />Candidate Signature C1'1--~ Date <br /> <br />s~trr~;ttr\ eth~ - daS~1~ ;2001' CYNTH~JOANDERSoN <br /> <br /> <br />Notary public' other officer et1Jpoweredt take and certify acknowledgments. Notary Public-Minnesota <br />ommiss' n s Jan 31.2008 <br /> <br /> <br />~;C:;'","':~I'I <br /> <br /> <br />Name (as. it wiUllPpearon the ballot): <br /> <br />I /7.<-1 s<E A( b <br /> <br />t~.ErJ~ I'IE IV) A"(I'/~ s~ . <br /> <br />, <br /> <br />Office. Sought District # For Partisan Office: <br />c:.' / r {! <5 CA 1,,("1 {j Political Party or Principle <br /> <br />Le al re$idence addr,ess (0 'tional : eam ai n c()ntact information <br /> <br />s"e2d~L ,. .lE XII'I :3 h /'1 A v .L. Street address <br /> <br />~~ ~t,~ip/< (.' L f5. , VI I N rJ .$~ - 113. City, State, Zip <br /> <br />Web site and/ore-mail address Phon~u, mbe!" <:;, ~ C'7'" <br />I ~st--rlJ-,-lvolJ <br /> <br />For all off,ices.1 swear (or affirm) that this is my true name or the name by which I am generally known in the <br />community. <br /> <br />For Judicial Office: <br />Name of Incumbent <br /> <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 politi9al party candidate, I either participated in the party's most recent precinct caucus or intend to <br />votetor 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 /> <br /> <br />Rev. 4100 Minnesota' Statutes, section 2048.06 <br /> <br />white copy - FiHng Officer <br /> <br />yellow copy - CFPD <br /> <br />goldenrod copy - Candidate <br /> <br />pink copy - Public Information <br />