AFFIDAVIT OF
COMPLIANCE
(PLEASE TYPE)
OFFICE USE ONLY
State of Florida
County of
I, , a(n)
(successful) (unsuccessful) candidate for merit retention on the
(circle where appropriate)
in the general election of
Office
, do hereby certify that I did not solicit, accept or expend any
Year
money in support of my candidacy before or after said election.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING
AFFADIVIT OF COMPLIANCE AND THAT THE FACTS STATED IN IT ARE TRUE.
x
Signature Date
DS-DE 97 (Rev. 08/03)
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