Free Petition template 04
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Sample Petition
Petition to Put Library Levy on
(fill in date of election) City Election Ballot
We, the undersigned eligible voters of the City __________, 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 the purpose of increasing the annual
operating budget of the __________ Public Library, with collection of the levy commencing in
the fiscal year beginning July 1, 2008?
Example 2: Shall the City of _________, Iowa be authorized to levy an amount of 27 cents per
$1,000 valuation for the purpose of increasing the annual operating budget of the __________
Public Library with the collection