Sharon Democratic Town Committee

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Requirement*

I hereby certify and state that all of the information disclosed by me and set forth above on this contributor card is true and accurate to the best of my knowledge and belief. I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States. I certify that this contribution is being made from my personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not a otherwise prohibited contribution.

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State and Federal laws require us to use our best efforts to collect and report the name, address, occupation, and employer of individuals whose contribution exceeds $100 in a calendar year.

By clicking “Donate”, I certify that the following statements are true and accurate:

- I am a U.S. Citizen or lawfully admitted permanent resident

- This contribution is made from my personal funds, not from an account maintained by a corporation, labor union, or national bank, and is not being reimbursed by another person or entity.

- I am not a federal government contractor.

The maximum amount an individual may contribute is $2,000 per year.

Contributions to Sharon Democratic Town Committee are not tax deductible for federal income tax purposes. Contributions from corporations, labor unions, federal contractors, and foreign nationals are prohibited.

Mail: To contribute by mail, please send a personal check made payable to “Sharon Democratic Town Committee” to:

Sharon Democratic Town Committee

PO Box 373

Sharon, CT 06069

Please include your full name, address, email address, occupation and employer in the envelope.

PAID FOR BY SHARON DEMOCRATIC TOWN COMMITTEE, Frank Fitzmaurice, Treasurer