HomeMy WebLinkAbout2018 A - Affidavit of Acceptance for 3 Page 2 OF 2 Rev2018 08 09CITY OF WINTER SPRINGS, FLORIDA
2018 GENERAL MUNICIPAL ELECTION
AFFIDAVIT OF ACCEPTANCE
The following signature area is to be signed upon receiving the 2018 Election Qualifying packet, including the above
referenced documents:
Name:
C A M P A I G N F I N A N C E / E L E C T R O N I C F I L I N G I N F O R M A T I O N
Accepted:
C I T Y O F W I N T E R S P R I N G S' I N F O R M A T I O N
Accepted:
M I S C E L L A N E O U S I N F O R M A T I O N
Accepted:
NOTE:
I,
noted on these two (2) pages, and agree that I will read all of the Election Qualifying packet materials that have been
provided to me; and understand that it is my responsibility to comply with all Laws as they apply to the 2018 Election.
Signature
Street Address City
State Zip Code
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me this
by
(Print Name of Person Making Statement)
Type of Identification Produced:
Revised 8/9/2018
"Contributions Returned" [DS-DE 2]
Envelopes for Checks/Receipts (2)
City of Winter Springs [July] 2016 District Map (Disc)
"Statement of Ethical Campaign Practices" (from the Seminole County Supervisor of Elections)
"Foreign nationals" - from the Federal Election Commission - June 23, 2017
Legal References for Qualifying Documents
Name of Candidate (Please Print or Type)
The Candidate should NOT close out their Campaign Bank account before they are invoiced and payment is made to the Seminole County Supervisor of Elections for verification of Petition
signatures.
(Print/Type or Stamp Commissioned Name of Notary Public)
Personally Known:
day of
Date & Time Review Ended:
have on this date received the forms and information,
Signature of Notary Public - State of Florida
Date
OR Produced Identification:
Page 2 of 2
, 2018