I understand that State law and County regulations require that a contribution be in my name and be from my own funds.  I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan; in addition, in case of a credit card contribution, I also hereby affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use, and has no corporate or business affiliation.

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By signing, you affirm that you understand and agree to these rules for Public Financing: 1) This contribution is made in my name from my own funds and is not being reimbursed in any manner. 2) This contribution is not made from the funds of a political action committee, labor organization, state or local party central committee, sole proprietor, LLC, or LLP. 3) This Contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person. 4) I certify that I have not made individual aggregate contributions to this candidate of more than $500 for the election cycle. 5) These funds are not intended for donor reimbursement nor being made as a loan. 6) I certify the information provided is accurate and truthful