I hereby declare under penalties of perjury that I am qualified to vote, or to affix my authorized signature in the name of an entity which is entitled to vote, in this election. | |
________________________ | |
Authorized Signature | Subscribed and sworn to |
before me this ______ day | |
of ______, 20______ | |
________________________ | |
Printed Name of Voter | |
________________________ | ________________________ |
Address of Voter | Signature of notary or other |
officer authorized to administer | |
oaths | |
________________________ | |
Mailing Address of Voter | |
(if different) |
(1) | Shall the special business district of ______ be authorized to impose a tax on owners of real property in a sum not to exceed ______ cents on the one hundred dollar assessed valuation? | |
[] YES | [] NO | |
If you are in favor of the question, place an "X" in the box opposite "YES". If you are opposed to the question, place an "X" in the box opposite "NO". | ||
(2) | Shall the special business district of ______ be authorized to impose its business license tax on businesses and individuals doing business within the special business district in an amount not to exceed ______ percent of the business license tax imposed by ______? | |
[] YES | [] NO | |
If you are in favor of the question, place an "X" in the box opposite "YES". If you are opposed to the question, place an "X" in the box opposite "NO". | ||
(3) | Shall the special business district of ______ be authorized to impose a special assessment not to exceed ______ cents per square foot on each square foot of land within the district? | |
[] YES | [] NO | |
If you are in favor of the question, place an "X" in the box opposite "YES". If you are opposed to the question, place an "X" in the box opposite "NO". | ||
(4) | Shall the special business district of ______ be authorized to impose a special assessment not to exceed ______ cents per square foot on each square foot of improvements on land within the district? | |
[] YES | [] NO | |
If you are in favor of the question, place an "X" in the box opposite "YES". If you are opposed to the question, place an "X" in the box opposite "NO". | ||
(5) | Shall the special business district of ______ be authorized to impose a special assessment not to exceed ______ dollars per abutting foot of the lots, tracts and parcels of land within the district abutting on public streets, roads and highways? | |
[] YES | [] NO | |
If you are in favor of the question, place an "X" in the box opposite "YES". If you are opposed to the question, place an "X" in the box opposite "NO". | ||
(6) | Shall the special business district of ______ change its tax on ______ to ______? | |
[] YES | [] NO | |
If you are in favor of the question, place an "X" in the box opposite "YES". If you are opposed to the question, place an "X" in the box opposite "NO". |
Each ballot shall be plain paper, through which printing or writing cannot be read.
§ 71.800, RSMo