Fire District Nominating Petitions Sample

FIRE DISTRICT

123 Anywhere Street

TOWN, NEW YORK 12345

ANNUAL FIRE DISTRICT NOMINATING PETITIONS

I, the undersigned, do hereby state that I am a duly registered voter of the ________________ Fire District, eligible to vote in the annual elections of the ________________ Fire District, Monroe County New York, and entitled to vote at the next annual election of the ________________ Fire District to be held on December ___, 20__; that my place of residence is truly stated opposite my signature hereto, and I do hereby designate the following named person as a candidate for the nomination for Commissioners of the ________________ Fire District.

Names of Candidate Office Place of Residence

Fire District Commissioners

Term ending

December 31, 20XX

In witness whereof, I have hereunto set my hand, the day and year placed opposite my signature.

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STATEMENT OF WITNESS

I, ________________ (name of witness), state: I am a duly qualified voter of the State of New York and I am a registered voter of the ____________________ Fire District. I reside at ___________________ (residence address).

Each of the individuals whose names are subscribed to this petition sheet containing ____ (fill in number) signatures, subscribed the same in my presence on the dates above indicated and identified himself or herself to be the individual who signed this...