STATE OF WISCONSIN
Town of ________
________ County
The State of Wisconsin, to any peace officer of the town:
Whereas, complaint was made in writing, under oath, to the Town Board of the Town of ________, ________ County, Wisconsin, by ________ ________, a resident of the town, that ________ ________, who sells [describe kind of license] in the town, under a license granted pursuant to law, has violated [
chapter 125, Wis. stats., and/or the following regulation adopted under
s. 125.10,Wis. stats.: specify violation or otherwise as in complaint];
You are commanded to summon ________ ________, who is commanded to appear before the Town Board of the Town of ________ at ______________ [state place] on ________ ___, 20__, at ____ o'clock ___.m., [not less than 3 nor more than 10 days from date of summons] to show cause why the license should not be [revoked or suspended or nonrenewed].
Given under my hand, by order of the town board, this ____ of ________, 20__.
[Signature of town clerk]
