Form 123 - Certificate Of Result Of Election
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1Form No. 123. Prescribed by Secretary of State (08-09)
CERTIFICATE OF RESULT OF ELECTION
On Issuing Bonds
R.C. 133.18, 3501.11(G)
______________________________________________________________________________________________
The State of Ohio, _______________________________________ County, ss.
1
To
________________________________________________________________________
We, the undersigned, Board of Elections of said County, do hereby certify that the ______________________
(Primary, General or Special)
Election held in the _____________________________________________________________________________,
(Name of Subdivision)
on the __________ day of __________________________________, ___________, on the question:
“Shall bonds be issued by the ________________________________________________________________
(Name of Subdivision)
for the purpose of _______________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
in the principal amount of_____________________________________________________________________,
to be repaid annually over a maximum period of _________________ years, and an annual levy of property taxes
be made outside of the ten mill limitation estimated by the County Auditor to average over the repayment period
of the bond issue _____________ mills for each one dollar of tax valuation, which amounts to _______________
__________________________________________________for each one hundred dollars of tax valuation,
(Here insert rate expressed in cents or dollars and cents)
to pay the annual debt charge on bonds, and to pay debt charges on any notes issued in anticipation of
those bonds, resulted as follows:
Whole number of votes cast_______________________________________________________________
(Write number of votes in words)
( ________________________ )
(In figures)
For the Bond Issue:
_______________________________________________________________
( __________________ )
(Write number of votes in words)
(In figures)
Against the Bond Issue:
_______________________________________________________________
( __________________ )
(Write number of votes in words)
(In figures)
as the same appears by the abstract of votes duly certified and signed by us and deposited in our office.
IN WITNESS WHEREOF, we have hereunto subscribed our names officially at
_______________________________, Ohio, this ____________ day of _____________________, ___________.
______________________________________________
Chair
______________________________________________
______________________________________________
______________________________________________
Attest:
Board of Elections
_______________________________________
___________________________________County, Ohio
Director
1
The Ohio Department of Taxation, Tax Equalization Division; the county Auditor, and to the fiscal officer of the political subdivision for which such bonds
are to be issued.
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