STATE OF WISCONSIN
Town of ________
________ County
________ ________, being duly sworn, states that [he or she] is the clerk of the Town of ________, ________ County, Wisconsin; that on ________ ___, 20__, [he or she] posted notices of the referendum election to be held in the town on ________ ___, 20__, a copy of which is annexed to and made part of this document in 3 public places in the town, to wit: [state the places].
[Signature of town clerk]
Subscribed and sworn to before me this ____ of ________, 20__.
[Signature of officer administering oath]
Filed in my office ________ ___, 20__.
Recorded in the town bond record book on page ________, on ________ ___, 20__.
[Signature of town clerk]
Note: If the notice was published in a local newspaper, obtain and file and record the printer's affidavit of publication of the notice. See
s. 985.12, Wis. stats.
