DS-DE 9 Appointment of Treasurer
OFFICE USE ONLY
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
Original Appointment Deputy Treasurer Reappointment of Treasurer Secondary Depository
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
Telephone (optional) 3. Office (add district, circuit, group number)
(Partisan candidates only)
2. Party
( )
I have appointed the following person to act as myCampaign TreasurerDeputy Treasurer
4. Name of Treasurer or Deputy Treasurer
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
7. City 8. County 9. State 10. Zip Code
I have designated the following named bank as myPrimary DepositorySecondary Depository
11. Name of Bank 12. Street Address
13. City 14. County 15. State 16. Zip Code
17. Signature of Candidate Date
X
Campaign Treasurer?s Acceptance of Appointment
I,, do hereby accept the appointment as
(Please Print or Type)
Campaign Treasurer Deputy Treasurer for the campaign of ,
who is seeking nomination or election as a candidate to the office of
(Party)
. As a duly registered voter in
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER?S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
X
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 02/06)