OFFICE USE ONLY
AFFIDAVIT OF INTENTION
(PLEASE PRINT OR TYPE)
State of Florida
County of
I, ,
Name of Candidate
a candidate for merit retention for
Office
in the general election of , do hereby certify that I have not
Year
and do not anticipate receiving contributions or making expenditures in
support of my candidacy for retention in office.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING
AFFADIVIT OF INTENTION AND THAT THE FACTS STATED IN IT ARE TRUE.
Signature Date
DS-DE 96 (Rev. 04/14) Section 105.08(2), F.S.
x