Fire district dissolution petition
To the board of supervisors of (insert name) county:
We the undersigned, property owners of (insert name of county), state of Arizona and owning property within the boundaries as illustrated and defined on the attached exhibit(s), legal description and map of the boundaries, petition the county board of supervisors to dissolve the (insert name of fire district) as described in the attached exhibit(s). I have personally signed this petition with my first and last names. I have not signed any other petition for the same measure. I am a property owner of the state of Arizona, county of _____________.
Notice: This is only a description of the proposed dissolution of the district by the sponsor of the measure. It may not include every provision contained in the measure. Before signing, make sure the exhibits are attached. You have the right to read or examine the statement before signing.
Warning
It is a class 1 misdemeanor for any person to knowingly do any of the following:
Signature | Name | Actual | Arizona | City or | Date |
(first and | Address | Post Office | Town | ||
last name | (street & | Address | (if any) | ||
printed) | no. and if | & Zip | |||
no street | Code | ||||
address, | |||||
describe | |||||
residence | |||||
location) |
(Fifteen numbered lines for signatures)
The validity of signatures on this sheet must be sworn to by the circulator before a notary public on the form appearing on the back of the sheet.
"___________ paid circulator" "______________ volunteer"
A.R.S. § 48-815.02