FREE Class on Saturday at Live Oak City Hall at 2:00 on April 27

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Keith Broaders @ 386-344-3555

Loyaly Oath

I__________ a citizen of the State of Florida and of the United States of America, and being employed by or an officer of and a recipient of public funds as such employee or officer, do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida.
876.05 Public employees; oath.
(1) All persons who now or hereafter are employed by or who now or hereafter are on the payroll of the state, or any of its departments and agencies, subdivisions, counties, cities, school boards and districts of the free public school system of the state or counties, or institutions of higher learning, except candidates for federal office, are required to take an oath before any person duly authorized to take acknowledgments of instruments for public record in the state in the following form:

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OATH OF CANDIDATE
(Sections 99.021 and 105.031, Florida Statutes)
I,
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of , ,
(office) (district #) , ; I am a qualified elector of County, Florida;
(circuit #) (group or seat #)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or
elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs
concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to
Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the
State of Florida.
Section 876.05, Florida Statutes, oath (only applicable if elected and when term of office begins): I, a citizen of the
State of Florida and of the United States of America, and being employed by or an officer of the school board and a
recipient of public funds as such employee or officer, do hereby solemnly swear or affirm that I will support the
Constitution of the United States and of the State of Florida.
X ( )
Signature of Candidate Telephone Number Email Address

Address City State ZIP Code
Candidate’s Florida Voter Registration Number (

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