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Get OH Form No. 6-I 2009-2024

Form No. 6-I Prescribed by Secretary of State 03-09 INITIATIVE PETITION Municipality or Home Rule Township Revised Code 504. 382 of the Revised Code. Signature of Circulator WHOEVER COMMITS ELECTION FALSIFICATION IS GUILTY OF A Permanent residence address FELONY OF THE FIFTH DEGREE Keep open for inspection for ten days Filed City or Village State and Zip Code ORDINANCE Form 6-I Initiative Petition. 14 731. 28-. 41 3501. 38 3503. 06 NOTE Prior to circulation of an initiative petition proposing an ordinance or measure a certified copy of such ordinance or measure must be filed with the City Auditor Village clerk or Township Fiscal Officer home rule township. This petition must be signed by ten percent of the number of electors in the city village or unincorporated area of the township who voted for governor at the preceding gubernatorial election and must be filed with the City Auditor Village Clerk or Township NOTE The below notice must be printed in red* NOTICE Whoever knowingly signs this petition more than once signs a name other than his own or signs when not a legal voter is liable to prosecution* To the of the of City Auditor Village Clerk or Township Fiscal Officer City Village or Township Ohio Name of City Village or Township We the undersigned electors of the of Ohio respectfully propose to the electors of such city village or township for their approval or rejection at the general election to be held on the day of November the following Ordinance The following is a full and correct copy of the title and text of the proposed Ordinance We hereby designate the following petitioners as a committee to be regarded as filing this petition or its circulation NAME RESIDENCE Signatures on this petition must be from only one county and must be written in ink. SIGNATURE VOTING RESIDENCE ADDRESS STREET AND NUMBER CITY VILLAGE OR TOWNSHIP COUNTY DATE OF SIGNING CIRCULATOR STATEMENT Must be completed and signed by circulator. Printed Name of Circulator reside at the address appearing below my signature that I am the circulator of the foregoing petition containing signatures that I witnessed the affixing of every signature that all signers were to Number the best of my knowledge and belief qualified to sign and that every signature is to the best of my knowledge and belief the signature of the person whose signature it purports to be or of an attorney in fact acting pursuant to section 3501. 14 731. 28-. 41 3501. 38 3503. 06 NOTE Prior to circulation of an initiative petition proposing an ordinance or measure a certified copy of such ordinance or measure must be filed with the City Auditor Village clerk or Township Fiscal Officer home rule township. This petition must be signed by ten percent of the number of electors in the city village or unincorporated area of the township who voted for governor at the preceding gubernatorial election and must be filed with the City Auditor Village Clerk or Township NOTE The below notice must be printed in red* NOTICE Whoever knowingly signs this petition more than once signs a name other than his own or signs when not a legal voter is liable to prosecution* To the of the of City Auditor Village Clerk or Township Fiscal Officer City Village or Township Ohio Name of City Village or Township We the undersigned electors of the of Ohio respectfully propose to the electors of such city village or township for their approval or rejection at the general election to be held on the day of November the following Ordinance The following is a full and correct copy of the title and text of the proposed Ordinance We hereby designate the following petitioners as a committee to be regarded as filing this petition or its circulation NAME RESIDENCE Signatures on this petition must be from only one county and must be written in ink. .

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