STATE OF WISCONSIN
Town of ________
________ County
I, ________ ________, the town clerk of the Town of ________, ________ County, Wisconsin, attest and [swear or affirm] all of the following:
1.
That the following action was posted pursuant to
s. 60.80, Wis. stats:
[cite ordinance, resolution, motion, or other action posted].
2. That the above-noted action was posted as required in the following 3 places in the Town of ________, ________ County, Wisconsin:
[list 3 locations].
3. That the posting of this action occurred at the following times and dates:
[list times and dates].
That I filed this affidavit in the records of the town clerk for the Town of ________ on ________ ___, 20__.
Dated this ______ day of ________, 20__.
[Signature of town clerk]
Personally came before me this ________ day of _____, 20__, the town clerk of the Town of ________, ________ County, known to me to be the person who executed and acknowledged the foregoing instrument.
[Signature of town chairperson]
or
[Signature of notary public]
Notary Public, State of Wisconsin
My commission _________.
