FOR REGISTERED VOTERS: | |
I hereby declare under penalties of perjury that I reside in the ______ (insert name) Community Improvement District and I am a registered voter and qualified to vote in this election. | |
______________________________ | |
Qualified Voter's Signature | |
______________________________ | |
Printed Name of Qualified Voter | |
FOR REAL PROPERTY OWNERS: | |
I hereby declare under penalty of perjury that I am the owner of real property in the ______ (insert name) Community Improvement District and qualified to vote in this election, or authorized to affix my signature on behalf of the owner (named below) of real property in the ______ (insert name) Community Improvement District which is qualified to vote in this election. | |
______________________________ | |
Signature | |
______________________________ | |
Print Name of Real Property Owner | |
If Signer is Different from Owner: | |
Name of Signer: ______ | |
State Basis of Legal Authority to Sign: ______ |
All persons or entities having a fee ownership in the property shall sign the ballot. Additional signature pages may be affixed to this ballot to accommodate all required signatures.
§ 67.1551, RSMo