Form 125 - Certificate Of Result Of Election On Tax Levy In Excess Of The Ten Mill Limitation

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Form No. 125. Prescribed by Secretary of State (08-09)
CERTIFICATE OF RESULT OF ELECTION
On Tax Levy in Excess of the Ten Mill Limitation
Revised Code 3501.11, 3505.33, 5705.19 – 5705.25
____________________________________________________________________________________
The State of Ohio, ________________________________County, ss.
1
To
_______________________________________________________________________________________
We, the undersigned, ________________________________County Board of Elections, do hereby certify
that the __________________________Election held in the_________________________________in the county,
(Primary, General or Special)
(Name of Subdivision)
on the_______ day of ___________________, __________ on the question of levying a tax, in excess of the ten
mill limitation, for the benefit of the subdivision for the purpose of
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
2
Tax being:
___________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________
at the rate not exceeding _________ mills for each one dollar of valuation, which amounts to __________________
for each one hundred dollars of valuation, for _____________________________________________________,
(Number of years the levy is to run, “life of indebtedness”, or continuing period of time”)
resulted as follows:
Total number of votes cast:
________________________________________________________________
(___________________)
(Write number of votes in words)
(in figures)
For the tax levy:
________________________________________________________________
(___________________)
(Write number of votes in words)
(in figures)
Against the tax levy:
________________________________________________________________
(___________________)
(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:
_____________________________________
_________________________________County, Ohio
Director
1
Ohio Dept. of Taxation, Tax Equalization Division; the Board of County Commissioners of ______County; the Council of the City or
Village of _____; the Board of Education of _____School District; the Board of Township Trustees of _____Township; or other taxing
authority.
2
Here insert one of the following:
“…an additional tax of ________mills:
“…a renewal of an existing tax of ______mills”
“…a renewal of a tax of _____ mills and an increase of _____mills to constitute a tax of _____mills”
“…a renewal of a part of a _____mill existing levy, being a reduction of _____mills to constitute a tax of _____mills”
“…a replacement of _____mills and an increase of _____mills to constitute a tax of _____mills”
“…a replacement of part of an existing levy, being a reduction of _____mills to constitute a tax of _____mills”
“…a replacement of a tax of _____mills”

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