Section 6-206. Independent nominations; petition, form

1. Independent
  nominations for elective village offices shall be  made  by  a  petition
  containing  the  signatures  in  ink of residents of the village who are
  registered with the appropriate county board of elections at the time of
  signing. The sheets of such a petition shall be numbered. A signer  need
  not himself or herself fill in the date or residence. Each sheet of such
  petition  must  be in substantially the following form and shall contain
  all the information required therein:
 
                   VILLAGE INDEPENDENT NOMINATING PETITION
 
    I, the undersigned, do hereby state that I am a  registered  voter  of
  the  Village  of.......,  that  my  present  place of residence is truly
  stated opposite my signature, and I do  hereby  nominate  the  following
  named person (or persons) as a candidate (or as candidates) for election
  to  public office (or public offices) to be voted for at the election to
  be held on  the.....day  of........, 20.....,  and  that  I  select  the
  name........... (fill  in  name)  as  the  name  of the independent body
  making the nomination (or nominations) and.....(fill in emblem)  as  the
  emblem of such body.
       Name of
      Candidate           Public Office           Term        Residence
     .............      ....................      ....      ...............
     .............      ....................      ....      ...............
 
    I  do  hereby  appoint  (insert  names and addresses of at least three
  persons, all of whom shall be registered voters within such village)  as
  a  committee  to fill vacancies in accordance with the provisions of the
  election law.
    In witness whereof, I have signed this petition on the  day  and  year
  stated before my signature.
      Date          Signature           Residence
    ..........    .................   ...................
    ..........    .................   ...................
 
                            STATEMENT OF WITNESS
 
    I,  .....................  state  that I am a duly qualified voter and
  now reside at ...................... (residence address) in the  Village
  of  ................  in  the  State  of  New  York  in  the  County  of
  ................. . Each of the voters whose  names  are  subscribed  to
  this   petition  sheet  containing  ................  (fill  in  number)
  signatures, subscribed his or her name in my presence.
    I understand that this statement will be accepted for all purposes  as
  the  equivalent  of  an  affidavit  and, if it contains a material false
  statement, shall subject me to the same penalties as if I had been  duly
  sworn.
   .......................           ..............................
      Date                               Signature of witness
 
    2.  In  lieu  of  the  signed  statement  of  a  witness who is a duly
  qualified voter of  the  state  qualified  to  sign  the  petition,  the
  following statement signed by a notary public shall be accepted:
    On  the  dates  above  indicated before me personally came each of the
  voters   whose   signatures    appear    on    this    petition    sheet
  containing ............. (fill in number) signatures, who signed same in
  my  presence  and  who,  being  by  me  duly  sworn, each for himself or

  herself, said that the foregoing statement made and subscribed by him or
  her, was true.
 
  Date:..................
 
                        ...............................
                        (Signature and official title
                         of officer administering oath)
      Page No........
 
    3.  The  name  selected for the independent body making the nomination
  shall be in the English language and shall not include the name or  part
  of the name, or an abbreviation of the name or of part of the name, of a
  then  existing party. The name and emblem shown upon such petition shall
  conform to the requirements of this chapter, relating to party names and
  party emblems. If such a petition shall  not  show  an  emblem,  or  the
  petition  shall  fail  to  select  a name for such independent body, the
  board  of  elections  shall  select  an  emblem  or  name,  or  both  to
  distinguish the candidates nominated thereby.
    4.  An  independent  nominating  petition for a village office must be
  signed  by  at  least  one  hundred  voters  in  villages  containing  a
  population  of five thousand or more; by at least seventy-five voters in
  villages containing a population of three thousand and  less  than  five
  thousand;  and  by  at  least  fifty  voters  in  villages  containing a
  population of one thousand and less than three thousand; and in villages
  containing a population of less than one thousand by voters numbering at
  least five per centum of the  number  of  voters  at  the  last  regular
  village  election. For the purposes of this section, the population of a
  village shall be determined by  the  last  federal  decennial  or  local
  special  population  census  federally  supervised  pursuant  to section
  twenty of the general municipal law.