HomeMy WebLinkAboutCitizen Article Petition FormCITIZEN ARTICLE PETITION FORM
To see if the Town will vote to:
SIGNERS’ STATEMENT We are qualified voters of the Commonwealth of Massachusetts and of the Town of Nantucket.
INSTRUCTIONS TO SIGNERS: Annual Town Meeting Citizen Warrant Articles require the signature of at least 10 registered voters. Special Town Meeting Citizen Warrant Articles require the signature of at least 100 registered voters (or
10% of registered voters, whichever is the lesser number).
Your signature should be written as substantially as registered. If you are prevented by physical disability
from writing you may authorize some person to write your name and residence in your presence.
I II III
Instructions to Registrars You must time-stamp or write in date and time these papers are
received. Check thus against the name of qualified voter to be certified. For names not certified, use the codes opposite.
N= no such registered voter at that address.
S= unable to identify signature or address as that of voter
because of form of signature or address, or illegible.
W= wrong district or community.
T= already signed this petition.
Certification of signatures
We certify that ( ) ____________________
signatures checked thus are names of voters of the
Town of Nantucket and are qualified to sign this petition.
(at least three registrars’ names must be signed or stamped below) Registrars of Voters of the Town of Nantucket
C
K
Signatures to be made in person
with name substantially as registered (except in case of
physical disability as stated above)
Printed Name
Ward
0
Prec
1
Now living at (street and number)
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