STATE OF WISCONSIN
Town of ________
________ County
Whereas, on ________ ___, 20__, complaint was made to the Town Board of the Town of ________, ________ County, Wisconsin, in writing, under oath, by ________ ________, a resident of the town, that ________ ________, who sells [describe type of sale, as in license] in the town, under a Class [A or B or C] license granted to the licensee by the town board, on ________ ___, 20__, violated [
chapter 125, Wis. stats., and/or the following regulation adopted under
s. 125.10, Wis. stats.: specify the violation as in complaint]; and
Whereas, a summons was issued commanding the licensee to appear before the town board of the town on ________ ___, 20__, at ____ o'clock ___.m., at ______________ [state place]; and ________ ________, having been served with the summons and [not having appeared as required, we, the town board, deeming the allegations of the complaint sufficient or ________ ________, having appeared and denied the complaint;]
Now, after hearing the evidence produced by [the complainant or each party] upon the issue, we find the complaint [to be true and order that the license granted to ________ ________ is (revoked or suspended for ____ days or not renewed) or to be untrue, and order the complaint dismissed or to be untrue, and that the complaint was made by ________ ________ maliciously and without probable cause, and we order that the complaint be dismissed, and that the costs, amounting to $________, shall be paid by ________ ________].
Dated this ______ day of ________, 20__.
[Signatures of town board]
Attest: [Signature of town clerk]
