Ohio Rev. Code Ann. § 5705.55
(B) The form of the ballot in an election held on the question of levying a tax proposed pursuant to this section shall be as follows or in any other form acceptable to the secretary of state: "A tax for the benefit of (name of lake facilities authority) __________ for the purpose of __________ at a rate not exceeding _________ mills for each one dollar of valuation, which amounts to (rate expressed in dollars and cents) ____________ for each one hundred dollars of valuation, for ____________ (life of indebtedness or number of years the levy is to run). "
| For the Tax Levy | |
| Against the Tax Levy |