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<br />It MI.NNE90TAAJiFIDAVIT OF CANDIDACY <br />All information on this form is allailable 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 /> <br />N-"t, <br />Legal residence address (optional): Campaign contact information (optional): <br />Street addressl) \ ~ M . , t...> J.., / rz.. Street address <br /> <br />_City, State, ZiP\ZOSC V' ,( '.e..- kU .qe; t I 2> City, State, Zip <br />We~e and/or e- ail ad res~ . Phone number <br />fA'" .... '" AW<;I? l..(.." (..0",", \ 4 ....,;.').. c;:; '7 '3 <br />For all offices, I swear (or affirm) that this i~ my true name or the name by which lam generally known in the <br />community. <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, withirl21 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 Mirlnesota for one year on election day. I am filing jointly with , <br />Supreme Court Justice, Court of Appeals Judge, District Court Judge,or County Attorpey. - 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, i@ChOOI District, or Special District Office - I meet any other qualifications for that office <br />prescri ed b ~w", , <br /> <br />~\ -._-~ ~ '1/I.,ID < <br /> <br />Date <br /> <br /> <br /> <br />""""'" <br /> <br />Name (as it will appear on the ballot): <br /> <br />}; <br /> <br />I <br /> <br />Office Sought <br /> <br />For Partisan Office: <br />Political Party or Principle <br /> <br />District # <br /> <br />For Judicial Office: <br />Name of Incumbent <br /> <br />c.'t \. <br /> <br /> <br /> <br />If filing for a state or IQcal 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 />, <br />If a major political'partycandidate, I either participated in the party's most recent precinct caucus or intend to <br />vote fora 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 /> <br />Candidate Signature <br /> <br />su,nbflandSrOmbe~remethis ~~(". day of <br /> <br />\ l,,( \ Ai'\ ('1\ <br />Notary pUQlic or other OffiCer!, powere1 to take and certify acknowledgments. <br /> <br />Rev. 4/00 Minnesota Statutes, section 2048.06 . <br /> <br />,---, ,,: <br /> <br />Ji' (t, y/ <br /> <br />", ((: I~ <br />.' <br /> <br />~ <br /> <br />(Notary stamp) , <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 /> <br />