Form 6-K "Referendum Petition - County" - Ohio

What Is Form 6-K?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 6-K by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 6-K "Referendum Petition - County" - Ohio

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Form No. 6-K Prescribed by Ohio Secretary of State (09-17)
Referendum Petition
County
R.C. 305.31 – 305.41, 3501.38, 3503.06
NOTE: Prior to circulation of a referendum petition, a certified copy of the resolution must be filed with the
county auditor. See R.C. 305.31 for appropriate signature requirements and filing deadlines.
(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 County Auditor of the County of
, Ohio:
We, the undersigned, electors of the County of
, Ohio respectfully petition
that the
(Insert resolution relative to the levying of a _________ tax or the sediment control and water management rule)
passed by the Board of County Commissioners on the
day of
,
, be submitted to
the electors of
County for their approval or rejection at the next
election.
(Primary or General)
The following is a full and correct copy of the title and text of the resolution or rule sought to be referred:
Resolution or Rule No.
Form No. 6-K Prescribed by Ohio Secretary of State (09-17)
Referendum Petition
County
R.C. 305.31 – 305.41, 3501.38, 3503.06
NOTE: Prior to circulation of a referendum petition, a certified copy of the resolution must be filed with the
county auditor. See R.C. 305.31 for appropriate signature requirements and filing deadlines.
(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 County Auditor of the County of
, Ohio:
We, the undersigned, electors of the County of
, Ohio respectfully petition
that the
(Insert resolution relative to the levying of a _________ tax or the sediment control and water management rule)
passed by the Board of County Commissioners on the
day of
,
, be submitted to
the electors of
County for their approval or rejection at the next
election.
(Primary or General)
The following is a full and correct copy of the title and text of the resolution or rule sought to be referred:
Resolution or Rule No.
We hereby designate the following petitioners as a committee to be regarded as filing this petition.
COMMITTEE OF NOT LESS THAN THREE PETITIONERS
ADDRESS
Signatures on this petition must be from only one county and must be written in ink.
Voting Residence, Street Number
City, Village or
Signature
County
Date of Signing
and Address
Township
1.
2.
3.
4.
5.
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23.
24.
Voting Residence, Street Number
City, Village or
Signature
County
Date of Signing
and Address
Township
25.
26.
27.
28.
29.
30.
31.
32.
33.
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35.
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Voting Residence, Street Number
City, Village or
Signature
County
Date of Signing
and Address
Township
57.
58.
59.
60.
61.
62.
63.
64.
65.
66..
67.
Circulator Statement
Must be completed and signed by the circulator.
I,
, declare under penalty of election falsification that I reside at the address
Printed Name of Circulator
signatures;
appearing below my signature; that I am the circulator of the foregoing petition containing
Number
that I witnessed the affixing of every signature; that all signers were to 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 3501.382 of the Revised Code.
Signature of Circulator
WHOEVER COMMITS ELECTION
FALSIFICATION IS GUILTY OF A
FELONY OF THE FIFTH DEGREE
Permanent Residence Address
City or Village
State
Zip Code
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