Petition
To ________ ________, clerk, Town of ________, ________ County, Wisconsin:
The undersigned electors of Town Sanitary District ________ of the Town[s] of ________ petition the Town Board of the Town of ________, ________ County, Wisconsin, that the district commissioners be appointed instead of elected.
Affidavit
STATE OF WISCONSIN
________ County
________ ________, of [insert address of residence with street and number], being duly sworn, says that I personally circulated the petition and personally obtained each of the signatures; that I know that the signers are electors of the jurisdiction or district in which the petition is circulated; that I know that the signers signed the paper with full knowledge of its content; that I know the signers' respective residences given; that I know that each signer signed on the date stated opposite his or her name; that I reside within the jurisdiction or district in which the petition is circulated; and that I am aware that falsifying the affidavit is punishable under
ss. 12.13 (3) (a) and
946.32 (1) (a), Wis. stats.
[Signature of affiant]
Subscribed and sworn to before me this ____ of ________, 20__.
[Signature of officer administering oath]
