Matt Bower Candidate Petition

CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.
I, *
the undersigned, a registered voter

(print name as it appears on your voter information card)
in said state and county, petition to have the name of
in said state and county, petition to have the name of

Nonpartisan No party affiliation placed on the Primary/General Election Ballot as a: [check/complete box, as applicable]
Party candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or
Voter Registration Number
Address *
(MM/DD/YY) *
City *
County
State
Zip Code *
Type a question
Signature of Voter
Signature

Clear
Date Signed (MM/DD/YY)
Date *

Month Day Year
Date
Rule 1S-2.045, F.A.C. DS-DE 104 (Eff. 09/11)
Should be Empty:

CANDIDATE PETITION