75 ILCS 16/40-30
(d) The proposition shall be substantially in the following form:
Shall Ordinance No. (number of ordinance), dated (date of enactment), of (name of public library district), (location), Illinois, providing for a total expenditure of $(amount) for (state one or more purposes authorized in Section 40-20 or 40-25), and for the levy of a special annual tax in the amount of $(amount) for (number of years), be approved?
(Source: P.A. 87-1277.)