E CITIZENS
ION
ING COMMISS
REDISTRICT
CERTIFIED BY SENATE MAP REFEREND N STATEWIDE OMMISSION UR RT VE O TO C ef REFERENDUM CITIZENS REDISTRICTING circulating title and summary of the chi ing THE ised pared the follow measure: TION OF TH
A RESOLU UM AGAINST
the proposed districts are rev lifornia has pre . State Senate General of Ca purpose and points of Redistricting FERENDUM TRICTS. RE rnia Citizens uired approved Califo TE SENATE DIS erSTA vot . ned by the req the ING sig r, if ICT TR petition, . This yea m sus ries ndu cen l ere era ref (11-0028) REDIS the fed ts. This te Senate bounda ing tric Sta ow dis ised foll ate rev rs Sen the every ten yea ries of the 40 will: (1) Place ide election; and ised the bounda retary of State, the next statew rev at Sec on ers the issi h vot wit mm the d Co n. ed by and file tewide electio istered voters ct unless approv in the next sta number of reg from taking effe GATHERER ndaries for use prevent them SIGNATURE set interim bou on the ballot and D BY A PAID ed officials to TE int LA CU ppo rt-a CIR TO ASK. MAY BE HT ION (2) Require cou RIG TIT E PE TH IS VE ll not be valid. E PUBLIC: TH EER. YOU HA OR A VOLUNT NOTICE TO TH or signatures wi The Attorney
IMPORTANT INSTRUCTIONS PLEASE READ Carefully follow the 5 Easy Steps to complete your petition, including signing a second time as Circulator at the bottom of the petition.
➧
ons carefully ______County. Follow instructi ____________ EASY STEPS. e in _________ registered to vot
5
petition All signers of this
SAMPLE
must be
Residence Address ONLY:
John Doe
:
Print Your Name
City:
Signature As Registered To Vote:
1.
:
3.
Residence Address ONLY: :
Print Your Name
Zip: City:
Signature As Registered To Vote:
4.
Residence Address ONLY: :
Print Your Name
Zip: City:
Signature As Registered To Vote:
5.
:
Zip: City:
Signature As Registered To Vote:
6.
3 Ask as many other voters as you can reach today to fill in and sign the other spaces. Return your petition today even if you are the only signer.
today.)
Residence Address ONLY:
Print Your Name
2 Print and sign your name and fill in your address.
ly Have other fami and friends, employees and customers who are registered voters in the same county sign today. (All lines need not be completed for petition to be valid. Fill in as many as possible
Zip: City:
Signature As Registered To Vote:
☞2
☞3
Residence Address ONLY:
Print Your Name
1 Fill in the County in which you are registered to vote.
Fill in County name here.
address.
Zip: City:
Signature As Registered To Vote:
☞1
Clearly print your name, sign and l fill in residentia
Residence Address ONLY:
Your Name:
2.
123 Any Street 90000 Zip: AnyTown
This column for official use only
Residence Address ONLY: :
Print Your Name
Zip:
☞4
City: ined.) es have been obta above signatur in the State of pleted after the to register to vote OR (To be com or am qualified OF CIRCULAT vote ON to ed ATI ster AR DECL _____, am regi ___ ___ ___ _________ I, ____________(print name) _. I circulated ____________ ____________ California. ____________ is, ___ss,___ _________(addre city, state, zip) on this petition ____________ Each signature ___ is ten. ress writ g add atures bein My residence appended sign atures essed each of the orts to be. All sign witn purp it and e tion nam the peti person whose this section of signature of the . belief, the genuine ____________ and _________ information and (month, day, year) ____________ to the best of my s of _________ date (month, day, year) the een betw true and correct. were obtained is g nt ume goin doc fore the on this California that s of the State of ury under the law penalty of perj __, California. I declare under ____________ ______ ___ ___ ___ g) ___ (place of signin _________, at (year) ___________, Executed on ___ (month, day) l) Signature As Registered To Vote:
D MUST BE SIGNE HERE ALSO
➧
(May be repeat e of Circulator
atur
Complete Sign
Please return
e Blvd., Suite
R, 5701 Lonetre
petition to: FAI
ion — include
of name on petit
middle initia
4 Fill out every shaded space in the Declaration of Circulator and sign the petition again at the bottom of the Declaration of Circulator Section.
Fill in all additional information in purple shaded area.
! URGEtNT sign a
You mus second time here as circulator. All signatures are invalid if you fail to sign as a circulator.
5 Please remember to sign the petition again as the petition circulator. If you don’t do this all of the signatures on your petition will be invalid!
☞5
, CA 95765
301, Rocklin
6
Please tear off and return with your petition
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