We the qualified voters of _____ _. icb....m�on.....

d _____
RichmondR..........
.a.
We the qualified voters of _____________________________________
,... ..._
We the qualified voters of ____ _ _.R..........icb....m�on.....d _____
COUNTY OR CITY OR TOWN AND DISTRICT, IF APPLICABLE
.a. ,... ..._
COUNTY OR CITY OR TOWN AND DISTRICT, IF APPLICABLE
COMMONWEALTH OF VIRGINIA
COMMONWEALTH OF VIRGINIA
signed hereunder or on the reverse side
COUNTY side
OR CITYofof this
OR TOWN page doAPPLICABLE
hereby petition the PETITIONOF
PETITION
COMMONWEALTH OFQUALIFIED
QUALIFIED
OF VIRGINIA
signed hereunder or on the reverse this AND DISTRICT,
page do IFhereby petition the
We the
circuit
signed qualified
cour
hereunder orvoters
t to enter and
on oforder,
the _____________________________________
pursuant
reverse side oftothis§ page do hereby
circuit court to enter and order, pursuant to § _____________ of the Code of 24 24 2-684.1
2-684.1
of petition
the Code theof PETITION VOTERS
OF QUALIFIED
VOTERS
COMMONWEALTH OF VIRGINIA
Virginiacour
circuit
Virginia for
for aa enter
t to Special Election
and Election
Special order, toto bebeto
pursuant held
held§ onon the 24 2-684.1
COUNTY OR CITY OR TOWN AND DISTRICT, IF APPLICABLE
the_______
___ dayofof
of the day
Code of
PETITION
FOR VOTERS
FORREFERENDUM
REFERENDUM
OF QUALIFIED
signed hereunder or on the reverse side of this page do hereby petition the
________________,
Virginia for a Special 20___, on the question
Election to be listed held below:
on the ___ day of FOR REFERENDUM
circuit court to enter and order, pursuant to § _____________ of the Code of VOTERS
Virginia for a Special Election to be held on the _______ day of FORrequired
All signatures REFERENDUM
by law need not be on the
“Should the Charter of the City of Richmond be amended to include the following provision:
________________,
We the qualified voters 20___,
of _ on___
the question
_ listed .a. below: _.R..........icb....m�on.....d _____
,... ..._ All same
same
All
signatures
page
page required
signaturesof the
by law Numerous
of the petition.
petition.
required by
need not be
Numerous
law need notpages
be
on the
pages
may
on
may
the
Overlay -this
PREAMBLE area Children
Choosing with theOver question
Costly
COUNTY to beAND
Coliseum
OR CITY OR TOWN placed
DISTRICT, IFon the ballot and
APPLICABLE be circulated.
COMMONWEALTH The circulator of OFeach VIRGINIA [lage must be
then photocopy as many forms as needed. The question should be be circulated.
same page of The thecirculator
petition. ofNumerous
each
a 12erson who is her/himself a legal resident of the page must
pages be
may
signed
We,stated hereunder
the citizens
in ofthe
or on believe
Richmond, the reverse sidedecrepit,
manner in modernizing
of this page do
which it is setobsolete forth school
hereby
in the
petition
facilities a far the
law iswhich aAll
person
be PETITION
who
signatures
circulated.
United Stalesisrequired
The OF
her\himselfby law
circulator
of America
QUALIFIED
aand
oflegalwhoresident
need
each not
[lage
is not of
bemust the
aonminor
the
be
more important
Overlay
circuit court priority
this
to than and
area
enter spending
with the
order,
authorizes the petition for the election.
hundreds of $millions
question
pursuant to be
§ of placed 24 2-684.1
public funds ononthe
aof
new coliseum.
ballot
the Code and of United
same
a nor States
page
12erson
a ofofthe
who
felon isAmerica
whosepetition.
VOTERS
her/himselfand
voting who
legalishave
Numerous
arights not
resident a
pages minor
not ofmaythe
been
then photocopy as many formstoasbe needed. Thethe question should be nor
be a felon
circulated.
United
restored.Staleswhose
The The
of voting
circulator
America
circul 9tor also rights
and ofmust have
each
who ispage
swear not
not been
ormust
aaffirm
minorbein
Virginia for a Special
§ 7B.07. Tax Increment Financing. Election held
stated in the manner in which it is set forth in the law which
on ___ day of restored.
a person
nor
!he TheFOR
who
a felon
affidavit is
whose REFERENDUM
circulator also
her\himself
that
voting
slhe musta swear
legal
rights
Q!;lrSQnallt or
resident
have affirm in
not ofbeen
witn!;JSS!;JQ the
Jh!;l
the
Unitedaffidavit
restored. States
signature The
ofthat
circul
each s/he
9tor personally
of America
voter. alsoand must witnessed
whoswear
is not thein
or aaffirm
minor
authorizes
(a) The the petition
term “Tax Increment for the
Financing” election.
is used as found in § 58.1-3245 et. seq. of the Code of Virginia.signature of each voter.
nor
!he aaffidavit
felon whose
that voting
slhe rights have
Q!;lrSQnallt not been
witn!;JSS!;JQ Jh!;l
signatureThe
restored. of each voter. also must swear or affirm in
circulator
(b) The Code of Virginia requires Richmond to create a Tax Increment Financing Fund in conjunction with Allanysignatures
agreement required
to useby Taxlaw need notFinancing
Increment be on the
(“TIF”) to pay: forMUST
CIRCULATOR SWEAR OR project
development AFFIRM IN THE AFFIDAVIT ON BOTH SIDES OF THIS FORM THAT S/HE IS A LEGAL RESIDENT
costs.
the
same affidavit
OF thatthes/he
THE UNITED
page of STATES personally
petition. AMERICAwitnessed
OFNumerous , NOT A MINOR
pages the
may
NOR A FELON WHOSE VOTING RIGHTS HAVE NOT BEEN RESTORED AND THAT S/HE PERSONALLY WITNESSED signatureEACHofSIGNATURE
be circulated. each Thevoter.
.
circulator of each [lage must be
(c) Expenditures
SIGNER: YOUR fromSIGNATURE
a Tax Increment Financing
ON THIS PETITION Fund
MUST must OWN
BE YOUR meetANDtheDOES
requirements § 7B.07
NOT SIGNIFY herein.
AN INTENT a 12erson
TO VOTE FOR who is her/himself
THE REFERENDUM . a legal resident of the
CIRCULATOR: MUST SWEAR OR AFFIRM IN THE AFFIDAVIT ON BOTH SIDES OF THIS FORM THAT S/HE IS A LEGAL RESIDENT United OF THE UNITED
Stales STATESand
of America who is , not
OF AMERICA NOT aA MINOR
minor
OFFICE POST ANDOFFICE BOXES typesARE NOT
(d) The optional referendum provided
NOR A FELON WHOSE by § RIGHTS
VOTING 7B.05HAVE
of theNOT
Charter will likewise
BEEN RESTORED apply S/HE
THAT to similar
PERSONALLY
USEbe paid, in whole or in part, by revenues from city taxes deposited in a Tax Increment Financing Fund.
ofWITNESSED
obligations
nor aEACHwhen such obligations
SIGNATURE
felon whose *
.voting rights
are to
SEE be paid,
have
NOTE not or
BELOW been
may ACCEPTABLE restored. The circul tor also must
LAST swear
4 or affirm
DIGITS in
ONLY SIGNER: YOUR SIGNATURE ON THIS PETITION MUST BE YOUR OWN AND DOES NOT SIGNIFY AN INTENT TO VOTE FOR THE REFERENDUM. 9
RESIDENT ADDRESS !he affidavit that slhe Q!;lrSQnallt SOCIALwitn!;JSS!;JQ
SECURITY Jh!;l
 OFFICE
(e). The petitioning and specialOFelection requirements
VOTER contained in § 7B.05 shall apply and
toBOXES
the optional referendum
NOT ofauthorized
SIGNATURE REGISTERED POSTHouse OFFICE
Number Street ARE
Name or
signature voter.by (d) above
eachDATE * except
NUMBER
SEE
as they
NOTE BELOW
areUSEinconsistent with the following which shall be controlling.
[PRINT NAME IN SPACE BELOW SIGNATURE] Citizens will have 120
Rural Route and days after the date of
Box Number and City/Town
ACCEPTABLE publication of the
SIGNED required notice
[OPTIONAL] the
to submit
necessary
ONLY petitions. The total number of signatures of qualified voters required shall be 5,000. LAST 4 DIGITS
RESIDENT ADDRESS SOCIAL SECURITY
 SIGN SIGNATURE OF REGISTERED VOTER RESIDENCE House Number and Street Name or DATE
(f). As1.permitted by § 58.1-3245.4 of the Code of Virginia, at least 51% of all funds deposited in any Tax Increment Financing Fund shall beNUMBER used to
[PRINT NAME IN SPACE BELOW SIGNATURE] Rural Route and Box Number and City/Town SIGNED [OPTIONAL]
modernize the city’s public school facilities. Accordingly, at leastC51%
PRINT
of the revenues deposited in any Tax Increment Financing Fund shall be deemed
ITY/TOWN
“surplus funds.” At the end of the tax year, all surplus funds will be paid into the general fund for such modernization subject to the authority of City Council.
SIGN RESIDENCE
1. SIGN RESIDENCE
2. permitted by § 58.1-3245 et. seq. of the Code of Virginia, no monies from a tax increment financing fund may be expended for obligations of any
(g). As
development PRINT
CIRCULATOR: project
MUSTunless
SWEARtheORentity
AFFIRMincurring such obligations
IN THE AFFIDAVIT isCITY
ON BOTH SIDES /TOF
boundOWN
by state
THIS F ORMlaw,
THATlocal
S,HElaw
IS AorLEGAL
applicable
RESIDENTregulations applying
OF THE UNITED to the
STATES OF Aprocess of A MINOR
MERICA, NOT
PRINT
awarding contracts C ITY/TOWN
NORfor construction
A FELON WHOSE and
VOTING services,
RIGHTSor if not
HAVE soBEEN
NOT bound, agreesAND
RESTORED in writing to abide
THAT S/HE by suchWITNESSED
PERSONALLY state law, EACH
local SIGNATURE.
law or regulations that would apply
SIGN ofMUST
toCIRCULATOR:
the2.
process SWEAR
awarding OR AFFIRM
contracts forINconstruction
THE AFFIDAVITandON services
BOTH SIDES hadOFthe
RESIDENCE THIS F ORM
entity THATthe
been S,HECity
IS AofLEGAL RESIDENT
Richmond OF THE
or one UNITED
of its STATES OF A MERICA, NOT A MINOR
agencies.
SIGN YOUR SIGNATURE ONVOTING
THIS PETI TION MUST RESIDENCE
3. SIGNER: NOR A FELON WHOSE RIGHTS HAVE BE
NOTYOUR
BEENOWN AND DOES
RESTORED ANDNOT
THATSIGNI
S/HEFYPERSONALLY
AN INTENT TOWITNESSED
VOTE FOR THE
EACHREF ERENDUM.
SIGNATURE.
CITY/TOWNPOST OFFICE BOXES ARE
VOTENOT
§3.06.2. PRINT
Submission of proposition by Council to the voters.
OFFICESIGNER: *SEE NOTE BELOW
PRINT YOUR SIGNATURE ON THIS PETI T ION MUST BE YOUR OWN CITYAND
/TOWNDOES NOT SIGNIFY AN INTENT TO FOR THE REF ERENDUM.
USE ACCEPTABLE
OFFICE
ONLY3. SIGN any other provision of this Charter, the tax on meals
Notwithstanding POST RESIDENT
RESIDENCE
permitted OFFICE BOXES
pursuant to §ADDRESS ARE et.
58.1-3840 NOT LAST
seq, of the Code of Virginia and 4 DIGITS
furthermore
*SEE NOTE BELOW
.....
USE (a) SIGN
§2.024. of this
ONLYordinance
Charter, shall not be raised for the 5 years RESIDENCE
following
first put to aCITY
ACCEPTABLE
the date this provision
/TOWN
at a House Number
takes effect and thereafter may only be raised
electionand
andStreet Nameof those voting having
SOCIAL
when any
DATE voted inLAST
SECURITY
4 DIGITS
local PRINT proposing
SIGNATURE such OFanREGISTERED
increase has been
VOTER vote RESIDENT
general ADDRESS
a majority NUMBER
favor of such
..... PRINT
ordinance.” [PRINT NAME IN SPACE BELOW SIGNATURE] C ITY /T
or Rural
OWN Route and Box Number and CityfTown SIGNED
DATE
SOCIAL SECURITY
[optional]
SIGN SIGNATURE OF REGISTERED VOTER RESIDENCE House Number and Street Name NUMBER
4. [PRINT NAME IN SPACE BELOW SIGNATURE] or Rural
RESIDENCE Route and Box Number and CityfTown SIGNED [optional]
5.1. SIGN MUST SWEAR OR AFFIRM IN THE AFFIDAVIT ON BOTH SIDES OF THIS F ORM THAT S,HE IS A LEGAL RESIDENT OF THE UNITED STATES OF A MERICA, NOT A MINOR
SIGN
CIRCULATOR: RESIDENCE
PRINT NOR A FELON WHOSE VOTING RIGHTS HAVE NOT BEEN RESTORED CITY/TOWN AND THAT S/HE PERSONALLY WITNESSED EACH SIGNATURE.
SIGN
PRINT
PRINT CRESIDENCE
ITY /TOWN
CITY/TOWN
1.SIGNER: YOUR SIGNATURE ON THIS PETITION MUST BE YOUR OWN AND DOES NOT SIGNIFY AN INTENT TO VOTE FOR THE REF ERENDUM.
SIGN RESIDENCE
OFFICE5. SIGN
PRINT CITY/TOWN
POST OFFICE BOXES ARE NOT
RESIDENCE
RESIDENCE
] 6. SIGN *SEE NOTE BELOW
USE PRINT CITY/TOWN ACCEPTABLE
ONLY
] PRINT
SIGN
PRINT CRESIDENCE
ITY /TOWN RESIDENT ADDRESS
C1TYITOWN LAST 4 DIGITS
..... SIGN
6. SIGN
RESIDENCE
DATE
SOCIAL SECURITY
PRINT
SIGN SIGNATURE OF REGISTERED VOTER RESIDENCEHouse Number and Street Name
C1TYITOWN
RESIDENCE NUMBER
7.3. [PRINT NAME IN SPACE BELOW SIGNATURE] or Rural Route and Box Number and CityfTown SIGNED [optional]
PRINT CITY/TOWN
SIGN
PRINT
PRINT C RESIDENCE
ITY /T OWN
CITY/TOWN
3. SIGN RESIDENCE
1.7. SIGN RESIDENCE
CITY/TOWN
[)SIGN PRINT
SIGN RESIDENCE
RESIDENCE
8. PRINT CITY/TOWN
PRINT CITY/TOWN
[)SIGN PRINT
PRINT CRESIDENCE
/TOWN
CnYITOWN
ITY
SIGN RESIDENCE
] SIGN RESIDENCE
8. SIGN
PRINT
SIGN CnYITOWN
RESIDENCE
RESIDENCE
9.5. PRINT C1TYITOWN
PRINT
PRINT CC1TYITOWN
ITY/TOWN
SIGN
PRINT CRESIDENCE
ITY/TOWN
5. SIGN RESIDENCE
3. PRINT
9.
SIGN C1TYITOWN
RESIDENCE
CONTINUE ADDITIONAL SIGNATURES AND COMPLETE AFFIDAVIT ON BOTH SIDES OF THE FORM
CONTINUE ADDITIONAL SIGNATURES AND COMPLETE AFFIDAVIT ON BOTH SIDES OF THE FORM
PRINT
Commonwealth
Commonwealth
PRINT of of
Virginia
Virginia - AFFIDAVIT
CONTINUE -CAFFIDAVITCITY/TOWN
- -
ITY/TOWN SIGNATURES
ADDITIONAL AND COMPLETE AFFIDAVIT ON BOTH SIDES OF THE FORM
I, ______________________________________________________________,
I,-----------------------�
Commonwealth of Virginia
[)SIGN swear
RESIDENCE SIGNATURES
CONTINUE ADDITIONAL orAND
swear affirm thatthat
or affirm
COMPLETE(i) my full
- AFFIDAVIT -
(i) my residential
full
AFFIDAVITresidential
ON BOTH SIDES
CIRCULATOR'S DRIVER'S
CIRCULATOR’S DRIVER’S
OF THE FORM
address is____________________________________________________________________________________________; LICENSE
LICENSE NUMBER NUMBER,
, IF IF
address is-------------------------------------
Commonwealth
I,-----------------------�
and, if different,
PRINT mymy
of Virginia
mailing address - AFFIDAVIT - swear
is ______________________________________________________________________;
CnYITOWN or affirm that (i) my full residential APPLICABLE
CIRCULATOR'S
APPLICABLE DRIVER'S
and, if different, mailing address is ________ ____________________ LICENSE NUMBER, IF
I,address
(ii) if applicable,
(ii)
is-------------------------------------
if applicable, I represent
I represent_____________________________________________
______________________________________________________________,
_ ______ _ _______ _ ___ organization
swear or affirm in
that
organization support
(i)
in my of the
full
support referendum;
residential
of the referendum; CIRCULATOR ’S DRIVER’S
APPLICABLE
(iii)
and,I am aSIGN
legal resident of the United ____
States of America _in _the _________
State/Commonwealth ___________
of _______________________________; LICENSE NUMBER, IF
address
(iii) Iifamdifferent,
a legal my mailing
resident of address
Unitedis Stales
is____________________________________________________________________________________________;
the of America __
in the RESIDENCE
State/Commonwealth of ___________ _
(ii)I 5.
(iv) if ifapplicable, I represent ______ _______ ____ organization in support of the referendum; APPLICABLE
(iv}am
and, I amnot
PRINT a minor
different,
not my
a minor nor a felon
mailing
nor _whose
aaddress
felon is voting
whose rights have not notbeen restored; and (v) I(v)
personally
______________________________________________________________________;
voting _
rights have C1TYITOWN
been restored; and I personally witnessed
witnessed the the
signature of of
signature NAMENAME OF STATE
OF STATE THAT ISSUED
THAT ISSUED
(iii)ifIperson
each am a legal who Isigned of _____________________________________________
this the
page United
or its Stales ofside.
America in the State/Commonwealth of ___________ a_
or reverse I understand that falsely signing thisthis
affidavitinissupport
a felony ofpunishable byby
(ii) applicable, resident
represent organization the referendum; THE CIRCULATOR'S
’S DRIVERDRIVER'S
’S
each person who signed this page its reverse side. I understand that falsely signing affidavit is a felony punishable a THE CIRCULATOR
maximum amafine aupminor
to $2500
norofaand/or imprisonment for up have
to NAME LICENSE
OF STATE THAT ISSUED
(iii) upten years.
(iv}I Iam legal
not resident the
felonUnited
whose States of rights
voting America intothe
not State/Commonwealth
been restored; and (v)ofI personally
_______________________________;
witnessed AFFIDAVIT
the signature of BOTH SIDES OFLICENSE
maximum fine up to $2500 and/or imprisonment CONTINUE
for ADDITIONAL
ten years. SIGNATURES AND COMPLETE ON THE FORM
THE CIRCULATOR'S DRIVER'S
each
(iv) I am person
not awho minor signed
nor a this
felonpage
whoseor its reverse
voting rightsside.
have I understand that falsely
not been restored; andsigning this affidavit
(v) I personally is a felony
witnessed punishable
the signature of by a NAME
Commonwealth
each
maximum personfine whoupsigned of Virginia
to $2500thisand/or
page or its reverse side.
imprisonment for upI to -
understand AFFIDAVIT -
_____________________________________________________
ten years.that falsely signing this affidavit is a felony punishable by a THE CIRCULATOR
OF STATE THAT ISSUED
LICENSE
’S DRIVER’S
Notary
maximum Signs finethe
upthe
I,-----------------------� Affidavit
$2500 on
to Affidavit thethe
and/or Reverse
imprisonment Side for up to ten years. swear or THEaffirm that (i) my full residential CIRCULATOR'S ’S DRIVER'S
CIRCULATOR' S
Notary Signs on Reverse Side SIGNATURE
SIGNATURE OF PERSON
OF PERSON CIRCULATING
CIRCULATING THE PETITION
PETITION LICENSE
CIRCULATOR
4LIDIGITS
CENSE NUMBER, IF
address is------------------------------------- LAST LAST 4 DIGITS
OF
SECURITY
OF SOCIAL
SOCIAL
APPLICABLE
NUMBER
Notary Signs the CIRCULATOR' S
myAffidavit on the Reverse Side SIGNATURE OF PERSON CIRCULATING THE PETITION
_____________________________________________________
SECURITY NUMBER
and, if different, mailing address is ____ ____ ____________________ LAST 4 DIGITS OF SOCIAL
* Notary
Privacy
* Privacy notice
Signs :
notice:
the The
TheCode
Code
Affidavit of
on Virginia,
of
the
(ii) if applicable, I represent _______________
§
Virginia,
Reverse 24.2-684.1, authorizes
§ 24.2-684.1,
Side authorizes requesting
SIGNATURE theCIRCULATING
requesting
OF PERSON last last
the fourorganization
digits
four of your
digits social
of your
THE PETITION security
social number
security to facilitate
number checking
to facilitate
SECURITY ’Sthis this
checking
CIRCULATOR NUMBER
____ in support of the referendum;
petition
petitionwithwiththetheofficial voter
official registration
voter registration
of theofUnited
record.
Stales
YouYou
record. areinnot
are required
not
of Americaauthorizes
to provide
required to provide
the State/Commonwealth
thisthis
information
informationandand
maymay
signsign
the petition without
the petition doing
without so. The
LAST 4doing
DIGITS so. StateState
The
OF SOCIAL
*(iii) I am a notice:
Privacy legal resident
The Code Virginia, § 24.2-684.1, requesting the lastoffour ___________
digits of your social security number _ to facilitate checking this
Board
Board ofofElections
Elections or or
thethe
General
GeneralRegistrar,
Registrar,when copying
when thisthis
copying document
documentfor public inspection,
for public mustmust
inspection, covercover
the column containing
the column any
containing social
SECURITY
NAME any security
NUMBER
social
OF STATE security
(iv} I am not
petition witha theminor nor avoter
official felonregistration
whose voting rightsYou
record. havearenotnot
been restored;
required and (v)this
to provide I personally
informationwitnessed
and may thesign
signature of without
the petition doing so. THAT
TheISSUED
State
*each
Privacy
number
number ornotice
person
part
or part: thereof.
The Code of Virginia, § 24.2-684.1, authorizes requesting the last four digits of your social security number toSBE-684.1(1)
thereof.
who signed thisGeneral
page orRegistrar,
its reversewhen
side.copying
I understanddocument
that falsely
facilitate
THE checking
REV 1/13
SBE-684.1(1)
CIRCULATOR'S REV this
1113
DRIVER'S
Board forsigning
public this affidavitmust
is a felony
cover punishable by a
petitionofwithElections or the
the official voter registration record. You are notthisrequired to provide inspection,
this information and may signthethecolumn
petitioncontaining
without doingany social security
so. The
LICENSE State
maximum
number or fine
part to $2500 and/or imprisonment for up to ten years.
up thereof.
Board of Elections or the General Registrar, when copying this document for public inspection, must cover the column containing SBE-684.1(1) REV 1113
any social security
number or part thereof. SBE-684.1(1) REV 1/13
Notary Signs the Affidavit on the Reverse Side SIGNATURE OF PERSON CIRCULATING THE PETITION CIRCULATOR'S
 4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.