The following statutes affect this form: s. 60.03 (2), Wis. stats. Petition
To the county board of the County of ________, Wisconsin:
We, the undersigned, electors of the Town of ________, ________ County, Wisconsin, hereby petition for the dissolution of the Town of ________:
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 day ____ of ________, 20__.
[Signature of officer administering oath]
Note: The original petition should be filed with the county clerk and a copy filed with the town clerk at least 60 days before the next annual town meeting.