AFFILIATED PARTY COMMITTEE
INDEPENDENT EXPENDITURE STATEMENT
(Section 106.088, Florida Statutes)
DS-DE 7A (Rev. 05/2020)
Before me, an officer authorized to administer oaths, personally appeared
(name)
to me well known, who, being sworn, says that he or she is the
(title)
of the
Party
(name of party)
(name of chamber)
affiliated party committee; that the affiliated party committee has not made, either directly
or indirectly, an independent expenditure in support of or opposition to a candidate or
elected public official in the prior 6 months; that the affiliated party committee will not
make, either directly or indirectly, an independent expenditure in support of or opposition
to a candidate or elected public official, through and including the upcoming general
election; and that the affiliated party committee will not violate the contribution limits
applicable to candidates under s. 106.08(2), Florida Statutes.
Signature of Committee Officer
Address
State
Zip Code
State of Florida
County of ______________________
Signature of Notary Public
Print, Type, or Stamp Commissioned Name of Notary Public below:
Sworn to (or affirmed) and subscribed before me by
physical presence or online notarization
this day of , 20 .
Personally Known OR
Produced Identification
Type of Identification Produced: _____________________________