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Sample Petition

 

Intended as a sample only.  For legal advice about the special library levy, consult your own attorney.

Petition to Put Library Levy on (fill in date of election)
City Election Ballot

We, the undersigned eligible voters of the City of __________, in accordance with Chapter 384 of the Code of Iowa, petition the City Council of __________ to submit the following resolution to the __________ County (fill in what county office it goes to) for its inclusion on the (fill in date of election) general city election ballot:

Put referendum language here:

Example 1:  Shall the City of __________, Iowa be authorized to levy, annually, a property tax of twenty-seven cents per $1,000 of assessed value for support of the  __________ Public Library, with collection of the levy commencing in the fiscal year beginning July 1, _______?

Example 2:  Shall the City of _________, Iowa be authorized to levy an amount of 27 cents per $1,000 valuation for support of the __________ Public Library with the collection of the levy commencing in the fiscal year beginning July 1, _____ and the levy to expire after five years on June 30, _____?

After the referendum language the petition must have:

  • Name of Eligible Voter 
  • Signature of Eligible Voter    
  • Address of Eligible Voter    
  • Date Signed

A sample petition in Word format is provided below.

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Sample Petition (Word)
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