* 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 (include district number, if applicable) ............. .................... .... ............... ............. .................... .... ............... 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 * NB Effective until November 22, 2017 * 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 (include district number, if applicable) ............. .................... .... ............... ............. .................... .... ............... 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 of the State of New York. I now reside at ................ (residence address). 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 * NB Effective November 22, 2017

1. 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........
2. 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.
3. 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.