Petition
To ________ ________, clerk, Town of ________, ________ County, Wisconsin:
The undersigned electors of Town Sanitary District No. ____ of the Town[s] of ________ petition the Town Board of the Town of ________, ________ County, Wisconsin, that the sanitary district commissioners be elected instead of appointed. The commissioners shall first be elected at [a special election or the spring election] as provided in
s. 60.74 (4), Wis. stats.
Affidavit
STATE OF WISCONSIN
Town of ________
________ 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 this affidavit is punishable under
ss. 12.13 (3) (a) and
946.32 (1) (a), Wis. stats.
Subscribed and sworn to before me this ____ of ________, 20__.
[Signature of officer administering oath]
Note: The petition must be signed by qualified electors of the districts equal to at least 20% of the votes cast for governor in the district at the last gubernatorial election. See
s. 60.74 (4) and
(6), Wis. stats.
