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 published pursuant to ss. 60.80 and 985.07, Wis. stats.: or That the notice of the following action was published pursuant to ss. 60.80 (5) and 985.07, Wis. stats.:*]
[cite ordinance, resolution, motion, or other action posted].
2.   That I caused this [action or notice of action] to be published as a class 1 notice, under s. 985.07, Wis. stats., in the following newspaper on the stated date:
[name newspaper and state of publication of notice].
3.   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 _________.
* Note: Section 60.80 (5) (b), Wis. stats., provides:
60.80 (5) (b) A notice of a resolution, motion, ordinance, or action that may be published under this subsection shall be published as a class 1 notice under ch. 985, Wis. stats., and shall contain at least all of the following:
1. The number and title of the resolution, motion, ordinance, or action.
2. The date of enactment.
3. A summary of the subject matter and main points of the resolution, motion, ordinance, or action.
4. Information as to where the full text of the resolution, motion, ordinance, or action may be obtained, including the phone number of the town clerk, a street address where the full text of the resolution, motion, ordinance, or action may be viewed, and a website, if any, at which the resolution, motion, ordinance, or action may be accessed.
Note: In s. 60.80 (5) (b), Wis. stats., “summary” means a brief, precise, and plain-language description that can be easily understood.
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