Candidate AffidavitAvon
Candidate Affidavit
This form must be filed with the Town Clerk within ten (10) days, after an individual becomes a candidate as defined
by Avon Town Charter and Code Section 1.14.030. Town Clerk's Office, 100 Mikaela Way, PO Box 975, Avon, CO
81620.Office hours: 8:00 am — 5:00 pm Mon -Fri. Except legal holidays.
This affidavit shall certify that I, v&o m a candidate for the Town of Avon
Office of Town Council Member: \
I further certify that I am familiar with the pr vision of the Avon Town Charter and Code Section 1.14: Campaign
Finance. /
Signature of Candidate: 1 L Date: L 2 (Z 0 Z Z
Physical Address of Candidate: TAG RVVG( / 2 u / tV 6VN Mailing
Address: PC Ayo o Co & t F ,20 Telephone: C(
1 3 i - l Email: Ct\10 v\, J tkacywm) Q CL-) Cow- CaSl , r\Q_+
State of
Colorado County of
Eagle Before me,
o, ;VL 1 1-1 lU (E f2 , a notary/officer duly authorized to administer oaths, in and for
said office, personally appeared Tani ra, M D h roc u m (Ataiv yucLd, whose name is subscribed to the foregoing Candidate
Affidavit, and who affirms, that said statements are true and that he/she acknowledges the execution of
said instrument to be of their own free act and voluntary deed for the uses and purposes there in set forth. Subscribed and
affirmed to before me this _ day of -QJ Um)-, 2022. tj t,
Notary/Officia
Signature Commission Expiration
Date JENA SKINNER
NOTARY PUBLIC -
STATE OF CO]2026 NOTARY
ID
2008400734 MY COMMISSION
EXPIRES MAR Page loll
Revised July2Item5.
1—Candidate Affidavit