Such registration list of electors shall be made available and disclosed to any elector of the village upon request. Any elector of the village claiming to be qualified to vote upon such a proposition whose name is not included in the registration list of electors therefor as made by the village clerk, may apply to such clerk for a revision of such list of electors to include his or her name. The village clerk upon the presentation of proper proofs showing that the applicant is a duly qualified elector shall revise such list of electors to include the name of the applicant. The application to revise any such list of electors may be made to the village clerk on or before the date of the election at which the proposition is to be submitted.
Each sheet of such petition shall be signed in ink and shall be substantially in the following form:
To the Board of Trustees of this Village of .......................... County of ......................, State of New York.
We, the undersigned, duly qualified electors of the village of ............. respectfully petition that the following proposed act or resolution ..... here insert title, abstract or identifying number ..... be submitted to a vote of the qualified electors of the village for their approval or rejection as provided by law.
Ward Village Election Date Signature-Residence if any District if any ..... ................... ...... ................ ..... ................... ...... ................ ..... ................... ...... ................
Statement of Witness:
I, .................state: I am over the age of eighteen years and now reside at ................................................... (residence address, or postoffice address if not identical) in the Village of ................... in the State of New York, County of .................. . Each of the electors whose names are subscribed to this petition sheet containing .........(fill in number) signatures, subscribed his name in my presence.
I understand that this statement will be accepted for all purposes as the equivalent of an affidavit and, if it contains a material false statement, shall subject me to the same penalties as if I had been duly sworn. ............ .........................
Date Signature of Witness
N.Y. Village Law § 9-902