OWNER=S WITHDRAWAL OF SIGNATURE

FROM PETITION FOR ANNEXATION

PURSUANT TO ORC 709.03(C) [1]

(Information to be printed or typed)

Pursuant to ORC 709.03 (C), I , ______, who resides at

(Insert your name as it appears on Annexation Petition)

______, represent that I am owner of real estate located in

(address including city, state, zip code)

the territory sought to be annexed to the City/Village of ______in a petition for annexation

involving ______acres located in ______Township(s) in which______is identified as agent for the petitioner(s). I further represent that: (a) I signed this petition for annexation, (b) twenty-one days have not passed since I received the agent for the petitioners notice of the hearing, and (c) I do hereby withdraw my signature from said petition.

I understand this withdrawal of my signature shall become effective only upon its filing with the clerk of the Board of County Commissioners.

______

Signature of Withdrawing Owner

______

Printed or Typed Name

______

Date Signature Affixed

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Date request filed with the Board of ______County Commissioners to be recorded here by the Clerk or designated staff of the Commissioners= Office.

Date/Time Received: ______

Signature of Clerk or designated staff member: ______

REQUEST TO AMEND

PETITION FOR ANNEXATION

PURSUANT TO ORC 709.031 (B)[2]

(The original and six copies of proposed Amendment are to be attached hereto)

(Information to printed or typed)

Pursuant to ORC 709.031 (B), I do hereby request that the Board of County Commissioners grant leave

to amend the petition to annex ______acres located in ______Township(s) to the

City/Village of______, in which ______is identified as agent for the

petitioner(s) as said petition was filed with the Board of ______County Commissioners on ______

in the following manner: (add extra sheets if necessary)

______

______

______

______.

The Proposed amendment does not add to the territory embraced in the original petition.

The hearing date for this Petition is ______, at least fifteen (15) days from this filing.

______

Signature of Person Seeking Amendment

Print/typed name here______

Relationship to Petition ______

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Date request filed with the Board of ______County Commissioners to be recorded here by the Clerk or designated staff of the

Commissioners= Office.

Date/Time Received: ______

Signature of Clerk or designated staff member: ______

CONSENT OF AGENT FOR PETITIONERS TO AMEND

PETITION FOR ANNEXATION

PURSUANT TO ORC 709.031 (B)

(The original and six copies of proposed Amendment to be attached hereto)

(Information to printed or typed)

Pursuant to ORC 709.031 (B), the undersigned, as agent for the petitioners, in a petition to annex

______acres located in ______Township(s) to the City/Village of

______, do hereby consent to the amendment of that petition in the following manner:

(add extra sheets if necessary)

______

______

______

______

______

______

______

______

______

______

Signature of Agent for Petitioners

______

Date

REQUEST FOR REASONABLE PROOF OF AUTHORITY TO SIGN ANNEXATION

PETITION ON BEHALF OF A PERSON OTHER THAN A NATURAL BEING

PURSUANT TO ORC 709.031 (C)[3]

(Information to be printed or typed)

Pursuant to ORC 709.031(C) and with respect to the petition filed with the Board of ______County

Commissioners on ______to annex ______acres located in ______Township(s)

to the Village/City of ______in which ______is named as agent for the

petitioners, the undersigned, member(s) of the board of trustees of ______Township and/or owners

of real estate located in the territory proposed to be annexed hereby request that, at the hearing upon this petition as provided in R.C. 709.032, the agent for the petitioner provide reasonable proof of the authority of ______to sign the aforesaid annexation petition on behalf of ______.

The date set for hearing this petition is ______, which is at least fifteen (15) days from the date of the filing of this Request. The undersigned represents that a copy of this Request was served upon the agent for the petitioners on ______, which is at least fifteen (15) days before the date set for hearing this petition.

Signature / Indicate if Township Trustees Owner or

or Owner(s) of Real Estate Address Trustee

______

______

______

______

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Date requested filed with the Board of ______County Commissioners to be recorded here by the Clerk or designated staff of the

Commissioners= Office.

Date/Time Received: ______

Signature of Clerk or designated staff member: ______

REQUEST TO THE CLERK FOR ISSUANCE OF A SUBPOENA

WITH RESPECT TO ANNEXATION PETITION HEARING

PURSUANT TO ORC 709.032(B)

(Information to be printed or typed)

To: The Clerk of the Board of ______County Commissioners

The undersigned, a necessary party to a proceedings to annex ______acres located in ______Township(s) to the Village/City of ______hereby deposits the fees and mileage of sheriffs and witnesses as the same are allowed by the court of common pleas in criminal cases and requests that a subpoena be served and returned in the same manner as allowed by the court of common pleas in criminal cases upon the following persons:

NAME

/ ADDRESS / CITY, SATE / ZIP

said subpoena to require the person subpoenaed:

Gto testify as a witness on behalf of agent for the petitioner;

Gto testify as a witness on behalf of agent for the petitioner and to produce at such hearing the following books, papers, correspondence, memoranda, agreements, or other documents or records relevant to the petition: ______

______;

Gto testify as a witness on behalf of agent for the township;

Gto testify as a witness on behalf of township and to produce at such hearing the following books, papers, correspondence, memoranda, agreements, or other documents or records relevant to the petition: ______

______;

in the above entitled proceeding at 9:30 A.M., on ______.

Dated:______

______

Requesting Person

Day Time Telephone No. ( )

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Date request filed with the Board of ______County Commissioners and fees paid to be recorded here by the Clerk or designated staff of the Commissioners= Office.

Date/Time Received: ______

Amount paid: $______Cash ______Check No. ______

Check made payable to ______County Commissioners

Signature of Clerk or designated staff member: ______

REQUEST FOR OFFICIAL COURT REPORTER AND/OR HEARING TRANSCRIPT

WITH RESPECT TO ANNEXATION PETITION AND HEARING THEREON

PURSUANT TO ORC 709.032 (B)[4]

(Information to be printed or typed)

Pursuant to ORC 709.032 (B) and with respect to the public hearing to be held not less than seven days from the filing of this Request; more specifically, on ______at ______a./p.m. before the Board of ______County Commissioners upon a petition for annexation of______acres located in ______Township(s) to the Village/City of ______in which______is named as agent for the petitioners,

(Indicate by placing a check mark(s) in the appropriate space(s) provided below to request a court reporter and/or a hearing transcript)

GThe undersigned requests the Board of ______County Commissioners provide a court reporter to transcribe the annexation hearing.

GThe undersigned requests a transcript of the annexation hearing.

______

Signature of Party Submitting Request

______

Printed Name of Party Submitting Request

______

Mailing Address

( )

Day Time Telephone Number

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Date request filed with the Board of ______County Commissioners and the fees paid to be recorded here by the Clerk or designated staff of the Commissioners= Office.

Date/Time Received: ______

Fee for Court Reporter Paid: $______Cash ______Check No. ______

Fee for Transcript Paid: $______Cash ______Check No. ______

Fees for Court Reporter & Transcript Paid: $______Cash ______Check No. ______

Check(s) made payable to ______County Commissioners

Signature of Clerk or designated staff member: ______

[1]ORC 709.03 (C) provides: Any owner who signed the petition for annexation may remove that signature by filing with the clerk of the board of county commissioners a written notice of withdrawal of the owner=s signature within twenty-one days after the date the agent for the petitioners mailed the notice of the hearing to the owner as provided in ORC 709.03 (B) (2). Thereafter, signatures may be withdrawn or removed only in the manner authorized by section 709.032 of the Revised Code.

[2]ORC 709.031(B) provides: The petition may be amended without further notice by leave of the board of county commissioners and with the consent of the agent for the petitioners if the amendment does not add to the territory embraced in the original petition and is made at least fifteen days before the date of the hearing. The board may refer the legal description of the perimeter, map, or plat to the county engineer if revisions are made in them, for a report on their accuracy.

[3]ORC 709.031 (C) provides: The board of township trustees of any township containing any territory proposed for annexation and any owners of real estate in the territory proposed for annexation may request that reasonable proof be presented of the authority of a person signing the petition on behalf of any person other than a natural being, the state, or a political subdivision of the state. The request shall be in writing and be filed with the board of county commissioners and with the agent for the petitioners at least fifteen days prior to the hearing on the petition. When such a request is filed, the agent for the petitioners shall present to the board of county commissioners at the hearing held under section 709.032 of the Revised Code sufficient evidence by affidavit or testimony to establish that ... the owner authorized the person whose signature is on the petition to sign the petition on its behalf.

[4]ORC 709.032 (B) provides: The board of county commissioners shall make, by electronic means or some other suitable method, a record of the hearing. If a request, accompanied by a deposit to pay the costs, is filed with the board not later than seven days before the hearing, the board shall provide an official court reporter to record the hearing. The record of the hearing need not be transcribed unless a request, accompanied by an amount to cover the cost of transcribing the record, is filed with the board.

C:\Tanya McComas\Request Forms to withdraw signature, to amend, challenge, subpoena, for court reporter & transcript.doc