To ________ ________:
Notice is hereby given that on ________ ___, 20__, at ________ __.m., the undersigned [owner or occupant] of ________ [describe premises], in the Town of ________, ________ County, Wisconsin, distrained ________________ [give number and kind of animals], owned by you, doing damage on the above-described premises, and that the animals are now detained [upon my premises
or in a public pound in the Town of ________, stating where] and that I will, on ________ ___, 20__, at ____ o'clock __.m., apply to ________ ________, chairperson of the Town of ________, for the appointment of 3 disinterested freeholders of the town to appraise the damages done by the animals.
Dated this ______ day of ________, 20__.
STATE OF WISCONSIN
Town of ________
On the application of ________ ________, I, ________ ________, chairperson of the Town of ________, ________ County, Wisconsin, appoint ________ ________, ________ ________, and ________ ________, 3 disinterested freeholders of the town, to appraise the damages done upon the above-described premises [owned or occupied] by ________ ________, caused by [
give number and kind of animals] belonging to ________ ________, of the Town of ________, that were distrained by ________ ________.
Dated this ______ day of ________, 20__.
[Signature of town chairperson]
