Petitions for adoption of this charter shall be in substantially the following form:PETITION FOR INCORPORATION ELECTION FOR TOWN (CITY) OF , TENNESSEETO: The County Election Commission, County, TennesseeWe the undersigned, being registered voters and residents of the territory herein proposed for incorporation, and being in number in excess of thirty-three and one-third percent (33⅓%) of the registered voters of the herein described territory, hereby request the county election commission to hold an election on the question of whether or not the herein described territory shall be incorporated under the terms of Tennessee Code Annotated, title 6, chapters 1-4, and be known by the name and style of the “Town (City) of , Tennessee,” all as prescribed in Tennessee Code Annotated, title 6, chapters 1-4.The territory in question, being part of the , Civil District(s) of County, Tennessee, is further described as: (Here insert a description of boundaries with references to tax maps) The wards of the Town (City) shall be as follows: (Here insert a description of wards, and if there is only one (1) ward state that the boundaries are as described above) Wards that will carry an initial two-year term:(For those municipalities incorporating with more than four (4) wards.)The proposed plan of services is as follows: (Here insert a description of the plan of services as defined in Tennessee Code Annotated, § 6-1-203).PETITIONERS' SIGNATURES Name Residence Address Date (List name and residence as on registration records)CertificateI, , hereby certify that I personally solicited the signatures of the persons appearing on this page and that they, in fact, signed their names to this petition in my presence. Name Address DateSTATE OF TENNESSEECOUNTY OF On this day of , 20 , before me personally appeared , to me known to be the person described in, and who executed, the foregoing instrument, and acknowledged that such person executed it as such person's free act and deed. Signature and Seal of Notary PublicMy commission expires:
PETITION FOR INCORPORATION ELECTION FOR TOWN (CITY) OF , TENNESSEE
TO: The County Election Commission, County, Tennessee
We the undersigned, being registered voters and residents of the territory herein proposed for incorporation, and being in number in excess of thirty-three and one-third percent (33⅓%) of the registered voters of the herein described territory, hereby request the county election commission to hold an election on the question of whether or not the herein described territory shall be incorporated under the terms of Tennessee Code Annotated, title 6, chapters 1-4, and be known by the name and style of the “Town (City) of , Tennessee,” all as prescribed in Tennessee Code Annotated, title 6, chapters 1-4.
The territory in question, being part of the , Civil District(s) of County, Tennessee, is further described as:
(Here insert a description of boundaries with references to tax maps)
The wards of the Town (City) shall be as follows:
(Here insert a description of wards, and if there is only one (1) ward state that the boundaries are as described above)
Wards that will carry an initial two-year term:
(For those municipalities incorporating with more than four (4) wards.)
The proposed plan of services is as follows: (Here insert a description of the plan of services as defined in Tennessee Code Annotated, § 6-1-203).
PETITIONERS' SIGNATURES Name Residence Address Date (List name and residence as on registration records)CertificateI, , hereby certify that I personally solicited the signatures of the persons appearing on this page and that they, in fact, signed their names to this petition in my presence. Name Address Date
Name Residence Address Date
(List name and residence as on registration records)
CertificateI, , hereby certify that I personally solicited the signatures of the persons appearing on this page and that they, in fact, signed their names to this petition in my presence. Name Address Date
I, , hereby certify that I personally solicited the signatures of the persons appearing on this page and that they, in fact, signed their names to this petition in my presence.
Name
Address
Date
STATE OF TENNESSEECOUNTY OF On this day of , 20 , before me personally appeared , to me known to be the person described in, and who executed, the foregoing instrument, and acknowledged that such person executed it as such person's free act and deed.
Signature and Seal of Notary Public
My commission expires: