2023 New York Laws › ELN - Election › Article 6 - Designation and Nomination of Candidates › Title 2 - Village Elections › 6-204 - Designating Petition; Form.

§  6-204.  Designating  petition;  form.    1.  Party designations for
  elective village  offices  shall  be  made  on  a  designating  petition
  containing  the  signatures  in  ink of residents of the village who are
  registered to vote with the appropriate county board of elections at the
  time of signing and who are enrolled in such political party. 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:
PARTY DESIGNATING PETITION
I, the undersigned do hereby state that I am a registered voter of the
  Village  of ............. and a duly enrolled voter of the .............
  party and entitled to vote at the next primary election of  such  party,
  that my place of residence is truly stated opposite my signature hereto,
  and  I  hereby  designate  the  following named person (or persons) as a
  candidate or (candidates) for nomination of such party  for  the  public
  office or (public offices) to be voted for at the primary election to be
  held on the ...... day of ............ 20.... as hereinafter specified.
Public Office
(include district
number,
Name of Candidate     if applicable)      Term          Residence
....................  .................   ..........    ............
....................  .................   ..........    ............
I  do  hereby  appoint  (insert  names and addresses of at least three
  persons, all of whom shall be  enrolled  voters  of  said  party)  as  a
  committee  to  fill  vacancies  in accordance with the provisions of the
  election law.
In witness whereof, I have hereunto set my  hand,  the  day  and  year
  placed opposite my signature.
Date             Name            Residence
.............   .............   ...............
.............   .............   ...............
STATEMENT OF WITNESS
I ............... (name of witness) state: I am a duly qualified voter
  of the State of New York; and an enrolled voter of the .........  party.
  I  now  reside  at  ..... (residence address). Each of the persons whose
  names  are  subscribed  to  this  petition  sheet  containing  .........
  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
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........
2.   Notwithstanding  any  other  provision  of  law,  the  number  of
  signatures required on a designating petition shall be five  percent  of
  the number of enrolled voters of the party residing in the village.