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Get MN Affidavit of Contributions 2016-2024

00-657-3889 AFFIDAVIT OF CONTRIBUTIONS House Candidates 2016 General Election (INSTRUCTIONS ON OTHER SIDE) State of Minnesota County of _____________ ) ) ss ) The undersigned candidate or treasurer, being first duly sworn, states as follows: 1. The candidate is: (Please print or type) Candidate Name Reg. # Street address City/state/zip Telephone # including area code Fax # including area code 2. The candidate is a candidate for the following office: House of Representatives, District.

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