Statement of Economic Interests
  • PLEASE READ INSTRUCTIONS BEFORE ATTEMPTING TO COMPLETE FORM.
  • For xxxx CALENDAR YEAR - TO BE FILED NO LATER THAN , EXCEPT FOR CANDIDATES, who must file with the Ethics Commission not more than five days after qualifying papers are filed as required by Section 36-25-15, Code of Alabama, 1975.
  • If sections of this form do not apply to you personally, indicate this by marking or checking “N.A.” and proceed to the next section.
  • You cannot save an incomplete form to finish at a later time. Your current session will expire at 4/26/2024 5:41 PM(Central Time). If this happens, you must start over.
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Are you a candidate running for re-election or were you a public official or public employee last year?  
Note: If you are a Candidate, complete the section below and see last page of instructions.
 
Note: If you are Law Enforcement, complete the section below.
Judge - Any Level    
District Attorney/Asst or Deputy DA/DA Investigator    
Attorney General/AG Attorney, Special Agent/Investigator    
Post Certified Law Enforcement Officers    
01.
Full Name, Residential Address, and Telephone Number(s) of Filing Person:


02.
Last year, I was an (  )  (  ) (  ) with the
(  ) (  ) (  ) and the name and address of my
(  )  (  )  ( )  (  ) (  )  (  ) (  ) (  ) was

02.1
As an  /  /
02.2
Last year in the above public position in section 02. thru 2.1 I earned:

  
  
  
  
02.3
Last year, the name(s) of the (  ) (  ) ( )
,  ,  ,  ,  ,  of which I was a Member was (were) 
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