Thomas Muniz - Assuming Office 2013STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
Date Received
Official Use Only
NAME OF FILER (LAST) (FIRST) (MIDDLE)
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1. Office, Agency, or Court
Agency Name
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Division, Board, Department, District if applicable Your Position
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P. If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ M Iti- County
City of t
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2012, through
December 31, 2012.
❑ County of
❑ Other
❑ Leaving Office: Date Left —J_ I
(Check one)
-or-
The period covered is I I through O The period covered is January 1, 2012, through the date of
December 31, 2012, r� leaving office.
u Assuming Office: Date assumed 09 00 �J '' d`" f O The period covered is — I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D • Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attach d El E - Income - Gifts - Travel Payments - schedule attached
"or.
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
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DAYTIME TELEPHONE NUMBER E- IL ADDRESS (OPTIONAL)
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I have used all reasonable diligence in preparing this statement I have reviewed this statement
FPPC Form 700 (201212013)
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