RECALL PETITION

WARNING: IT IS AGAINST THE LAW:

For anyone to sign this petition with any name other than one s own or to !nowing"y sign one s name more than on#e $or the same meas%re or to !nowing"y sign a petition when not a registere& e"e#tor' (o not sign this petition %n"ess yo% are an e"igi)"e e"e#tor' To )e an e"igi)"e e"e#tor yo% m%st )e registere& to *ote an& e"igi)"e to *ote in (insert name of political subdivision) e"e#tions' (o not sign this petition %n"ess yo% ha*e rea& or ha*e ha& rea& to yo% the propose& re#a"" meas%re in its entirety an& %n&erstan& its meaning'

Petition to re#a"" (insert name of person sought to be recalled) $rom the o$$i#e o$ (Insert title of office)'
Se#tion +,+-,+./0 C'R'S'

Genera" statement o$ gro%n&s $or re#a"": Insert general statement of grounds for recall (not to exceed 200 words).

INSTRUCTIONS FOR PETITION SIGNERS AND CIRCULATORS

1. TO SIGN A PETITION A. Read the warning at the top o the page. !. To "ign thi" petition #o$ %$"t &e a regi"tered 'oter in (insert name of political subdivision). C. No per"on %a# "ign or another. D. The petition (ir($)ator %a# not a""i"t a "igner. E. I a "igner i" di"a&)ed and need" a""i"tan(e* a third part# "ho$)d pro'ide that a""i"tan(e. On the petition* i%%ediate)# o))owing the na%e o the di"a&)ed e)e(tor* the third part# pro'iding a""i"tan(e "ha)) "ign hi" or her na%e and addre""* and "tate that "$(h a""i"tan(e wa" gi'en to the di"a&)ed e)e(tor. ,O- TO SIGN T,E PETITION A. Print ()ear)#. !. A "ignat$re )ine (on"i"t" o two )ine"* &oth o whi(h %$"t &e $))# (o%p)eted. C. U"e &)a(. or &)$e in.. Do not $"e ditto %ar." to pro'ide in or%ation on a "ignat$re )ine. D. A "igner %$"t $"e the re"iden(e addre"" where he or "he re"ide" and i" regi"tered to 'ote. E. Do not $"e a po"t o i(e &o/. Street na%e and n$%&er %$"t &e pro'ided. F. For (o$nt# a&&re'iation" $"e the ir"t o$r )etter" o the (o$nt# na%e* e/(ept or 0onte1$%a (0ON23 and 0ontro"e (0ONT3. G. The "igner %$"t (o%p)ete a)) portion" o a "ignat$re )ine. ,. A "igner %$"t not p)a(e a 1ip (ode or &irth date $nder 4Date o Signing5. I. Corre(tion"6 I a "%a)) (orre(tion i" %ade* the "igner "ho$)d initia) the (hange. I a )arger (orre(tion i" re7$ired* the "igner "ho$)d #omp"ete"y (ro"" o$t the in(orre(t in or%ation and pro(eed to $"e the ne/t two &)an. )ine". TO CIRCULATE A PETITION A. Read the warning at the top o ea(h page. !. There (an on)# &e one (ir($)ator or ea(h petition "e(tion. C. A petition "e(tion %a# not &e )e t on a ta&)e $nattended or pa""ed a%ong potentia) "igner" i the (ir($)ator i" not a((o%pan#ing the petition "e(tion. D. The (ir($)ator %$"t witne"" e'er# "ignat$re )ine a" it i" written. E. Do not ta.e the petition "e(tion apart. I the origina) "tap)e" are re%o'ed the petition "e(tion wi)) not (o$nt. F. 0a.e "$re that a)) the re7$ired in or%ation i" (o%p)ete &e ore a "igner )ea'e" #o$r pre"en(e. -,AT TO DO -,EN T,E CIRCULATOR ,AS FINIS,ED COLLECTING SIGNATURES A. E'er# 'a)id "ignat$re (o$nt". Signat$re" on partia))# (o%p)eted petition "e(tion" %a# (o$nt. !. A petition "e(tion %$"t &e proper)# notari1ed. Ta.e the petition to a notar# p$&)i(* who wi)) then notari1e the a ida'it. (o not sign or &ate yo%r a$$i&a*it )e$ore yo% appear )e$ore the notary' C. No additiona) "ignat$re" %a# &e (o))e(ted a ter the a ida'it ha" &een notari1ed.

+.

8.

9.

(Re'i"ed 1:;1:;+:1+3

RECALL PETITION
WARNING: IT IS AGAINST THE LAW:
For anyone to sign this petition with any name other than one s own or to !nowing"y sign one s name more than on#e $or the same meas%re or to !nowing"y sign a petition when not a registere& e"e#tor' (o not sign this petition %n"ess yo% are an e"igi)"e e"e#tor' To )e an e"igi)"e e"e#tor yo% m%st )e registere& to *ote an& e"igi)"e to *ote in (insert name of political subdivision) e"e#tions' (o not sign this petition %n"ess yo% ha*e rea& or ha*e ha& rea& to yo% the propose& re#a"" meas%re in its entirety an& %n&erstan& its meaning'

Petition to re#a"" (insert name of person sought to be recalled) $rom the o$$i#e o$ (Insert title of office)'
Se#tion +,+-,+./0 C'R'S'

Genera" statement o$ gro%n&s $or re#a"": Insert general statement of grounds for recall (not to exceed 200 words).

The o))owing three peop)e (o%pri"e the (o%%ittee de"ignated to repre"ent the "igner" in a)) %atter" a e(ting the petition6 Name: (insert committee member) (insert committee member) (insert committee member)
Signat%re + Printe& Name Signat%re Printe& Name Signat%re 5 Printe& Name Signat%re 6 Printe& Name Signat%re 7 Printe& Name Signat%re 8 Printe& Name Signat%re 9 Printe& Name Signat%re / Printe& Name Signat%re : Printe& Name

A&&ress: (insert committee members address) (insert committee members address) (insert committee members address)
Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing

(Re'i"ed 1:;1:;+:1+3

RECALL PETITION
WARNING: IT IS AGAINST THE LAW:
For anyone to sign this petition with any name other than one s own or to !nowing"y sign one s name more than on#e $or the same meas%re or to !nowing"y sign a petition when not a registere& e"e#tor' (o not sign this petition %n"ess yo% are an e"igi)"e e"e#tor' To )e an e"igi)"e e"e#tor yo% m%st )e registere& to *ote an& e"igi)"e to *ote in (insert name of political subdivision) e"e#tions' (o not sign this petition %n"ess yo% ha*e rea& or ha*e ha& rea& to yo% the propose& re#a"" meas%re in its entirety an& %n&erstan& its meaning'

Petition to re#a"" (insert name of person sought to be recalled) $rom the o$$i#e o$ (Insert title of office)'
Se#tion +,+-,+./0 C'R'S'

Genera" statement o$ gro%n&s $or re#a"": Insert general statement of grounds for recall (not to exceed 200 words).

Signat%re +. Printe& Name Signat%re ++ Printe& Name Signat%re +Printe& Name Signat%re +5 Printe& Name Signat%re +6 Printe& Name Signat%re +7 Printe& Name Signat%re +8 Printe& Name Signat%re +9 Printe& Name Signat%re +/ Printe& Name

Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town

Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing Co%nty (ate o$ Signing

(Re'i"ed 1:;1:;+:1+3

RECALL PETITION
WARNING: IT IS AGAINST THE LAW:
For anyone to sign this petition with any name other than one s own or to !nowing"y sign one s name more than on#e $or the same meas%re or to !nowing"y sign a petition when not a registere& e"e#tor' (o not sign this petition %n"ess yo% are an e"igi)"e e"e#tor' To )e an e"igi)"e e"e#tor yo% m%st )e registere& to *ote an& e"igi)"e to *ote in (insert name of political subdivision) e"e#tions' (o not sign this petition %n"ess yo% ha*e rea& or ha*e ha& rea& to yo% the propose& re#a"" meas%re in its entirety an& %n&erstan& its meaning'

Petition to re#a"" (insert name of person sought to be recalled) $rom the o$$i#e o$ (Insert title of office)'
Se#tion +,+-,+./0 C'R'S'

Genera" statement o$ gro%n&s $or re#a"": Insert general statement of grounds for recall (not to exceed 200 words).

Signat%re +: Printe& Name Signat%re -. Printe& Name

Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town Resi&en#e A&&ress 1Street 2 N%m)er3 City4Town

Co%nty (ate o$ Signing Co%nty (ate o$ Signing

AFFI(A;IT OF CIRC<LATOR
I &o so"emn"y a$$irm %n&er pena"ty o$ per=%ry that:
I wa" a re"ident o the "tate* a (iti1en o the United State"* and at )ea"t 1< #ear" o age at the ti%e thi" "e(tion o the petition wa"

(ir($)ated and "igned &# the )i"ted e)e(tor"=

I (ir($)ated thi" "e(tion o the petition= Ea(h "ignat$re on thi" petition i" the "ignat$re o the per"on who"e na%e it p$rport" to &e= To the &e"t o %# .now)edge and &e)ie ea(h o the per"on" "igning thi" petition "e(tion wa"* at the ti%e o "igning* an e)igi&)e

e)e(tor=
I ha'e not paid or wi)) not in the $t$re pa# and I &e)ie'e that no other per"on ha" paid or wi)) pa#* dire(t)# or indire(t)#* an# %one#

or other thing o 'a)$e to an# "igner or the p$rpo"e o ind$(ing or (a$"ing "$(h "igner to a i/ hi" or her "ignat$re to the petition=
Cir#%"ator Name (p)ea"e print3

La"t Na%e

Fir"t Na%e

Permanent Resi&en#e A&&ress (or )o(ation i ho%e)e""3

Street na%e and n$%&er (no P.O. !o/e"3

Cit#;Town

Co$nt#

State

2ip Code

Sign an& (ate

Signat$re o Cir($)ator

Date o Signing >"ea)?

STATE OF COLORADO COUNT@ OF AAAAAAAAAAAAAAAAAAAAAAAAAAA

S$&"(ri&ed and "worn to &e ore %e thi" AAAAAAAA da# o AAAAAAAAAAAAAAAAAAAAAAA* +:AAAAA &# AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA. Da# 0onth @ear Printed na%e o Cir($)ator A&o'e Signat$re (and Tit)e3 o Notar# ; O i(ia) Ad%ini"tering Oath AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 0# Co%%i""ion E/pire"6 AAAAAAAAAAAAAAAAAAA T#pe o ID pro'ided &# (ir($)atorAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

(Re'i"ed 1:;1:;+:1+3