La. Stat. tit. 38 § 1776
The question submitted to the voters at special elections held under the provisions of this Part and the ballot to be used at the elections, when refunding bonds are not to be issued, or acreage taxes or forced contributions are not to be levied for the payment thereof, shall be in substantially the following form:
"Shall ................. (name of subdivision) impose, levy
and collect annually for the term of ...... years, beginning
with the year 19..., an acreage tax or forced contribution
of ...... cents per acre per year on each and every acre of
land in said ................ (name of subdivision) for the
YES
[ ]
purpose of constructing gravity drainage works?"
NO
[ ]
"Shall ................. (name of subdivision) incur debt and
issue bonds to the amount of ...... dollars, to run not more
than . ..... years from date with interest at the maximum rate
of ...... per cent per annum, for the purpose of constructing
gravity drainage works, said bonds to be payable from and
secured by an acreage tax or forced contribution of ......
cents per acre per year and for a term of ...... years
beginning with the year 19...?"
Number of acres: .....................................................
YES
[ ]
....................................................................................
NO
[ ]
(Signature of Voter)
When refunding bonds are to be issued or acreage taxes or forced contributions are to be levied to support or secure the payment of refunding bonds, the question to be submitted to the voters at special elections held hereunder and the ballot to be used thereat, shall be in substantially the following form:
"Shall ................. (name of subdivision) incur debt and
issue bonds to the amount of $...... to run not more than
...... years from date with interest at the maximum rate of
...... per cent per annum, for the purpose of readjusting,
refunding, extending and unifying the (whole) (part of the
principal) (principal and interest) (interest) of the outstanding
bonds of the district, to be secured by an acreage tax or
forced contribution of ...... cents per acre per annum, and
YES
[ ]
for a term of ...... years, beginning with the year 19...?"
NO
[ ]
"Shall ................. (name of subdivision) impose, levy
and collect annually, for a term of ...... years, beginning
with the year 19..., an acreage tax or forced contribution
of .... cents per acre per year on each and and every acre
of land in said .............. (name of subdivision) such
acreage tax or forced contribution to represent (a reduction)
(an increase) in the acreage tax or forced contribution now
being levied, up to and including the year ...., and the levy
and imposition of additional acreage taxes or forced
contributions for the additional years, the proceeds of
which acreage or forced contribution to support or secure
the payment of the bonded indebtedness of the district to be
readjusted, refunded, extended and unified."
YES
[ ]
Number of acres: .......................................................
NO
[ ]
.................................................................................
(Signature of Voter)
Notice to Voters:
To vote in favor of the proposition submitted on this ballot place a cross (X) mark in the square after the word "YES".
To vote against it, place a similar mark after the word "NO".
La. R.S. § 38:1776