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073 <br /> <br /> EXHIBIT 2 <br /> SAMPLE <br />QUALIFICATION FORM <br />(To be filled out by Candidates and Voters) <br /> <br />Name: <br /> <br />Address: <br /> <br />Voter/Candidate for: <br /> <br />[ ] Residential Owner OccuPant <br />[ ] Residential Tenant <br />[ ] Business Owner or Tenant <br />[ ] Absentee Owner <br /> <br />Proof of Eli~ibilSty: <br /> <br />[ ] Deed #. <br />[ ] Business License/Permit <br />[ ] Property Tax Bill # <br />[ ] Lease Agreement # <br />[ ] Rent Receipt ~ <br />[ ] Utility Bill #. <br />[ ] other (specify) <br /> <br />Signature: <br /> <br />Pictur9 Ident%fication: <br />[ ] Driver!s License <br /> <br />(Confidential) <br /> <br />[ ] Bank ID (with picture) <br />#. <br /> <br />Passport <br /> <br />[ ] other (specify) <br /> <br />signature: <br />Oualifications Verified: <br /> <br />Signature: <br /> <br />Dated: <br /> <br />13 <br /> <br /> <br />