FOR REGISTERED VOTERS: | |
I hereby declare under penalties of perjury that I reside in the _________ Port Improvement District No. _________ (insert name of 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 _________ Port Improvement District No. _________ (insert name of 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 _________ Port Improvement District No. _________ (insert name of 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.
§ 68.250, RSMo