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<br />for election); that his or her legal residence is <br /> <br />(Print you full residence address) <br />County, Florida; that he or she is qualified under the ordinances and Municipal <br />Charter of the City of Sunny Isles Beach, and under the Constitution and the laws <br />of Florida to hold the office to which he or she desires to be elected; that he or she <br />has taken the oath required by SS 876.05 - 876.10, Florida Statutes; that he or she <br />has qualified for no other public office in the state, the term of which office or any <br />part thereof runs concurrent with that of the office he or she seeks; that he or <br />she has resigned from any office from which he or she is required to resign <br />pursuant to S 99.012, Florida Statutes; and that he or she has paid the required <br />qualification fee. <br /> <br />Signature of candidate <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />Zip Code <br /> <br />Sworn to (or affirmed) and subscribed before me this _ day of <br />, by , at Sunny Isles <br />Beach., Miami-Dade County, Florida. <br /> <br />Signature and title of City officer administering oath <br /> <br />Personally known , or <br />Produced identification <br />Type of identification produced <br /> <br />099- Election Canvass & Qualification Procedures (rev 3/12/99) <br /> <br />Page 5 <br />