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Please see http://docs.legis.wisconsin.gov for the production version.
STATE OF WISCONSIN
Town of ________
________ County
I, ________ ________, clerk of the Town of ________, ________ County, Wisconsin, certify that I have carefully examined the attached petition [attach this certificate to petition upon execution by town clerk] to determine the sufficiency of the petition and whether the attached proposed resolution is in proper form. Upon this examination I have determined that: [select one 1. The petition is sufficient and the resolution is in proper form. or 2. The petition is insufficient due to ______________. or 3. That the resolution is not proper in form due to ______________. Or both 2 and 3. State the particulars of any insufficiency or impropriety].
In witness whereof I have hereunto set my hand this ____ of ________, 20__.
[Signature of town clerk]
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