SAMPLE BALLOT FOR ELECTION ON TAX BEING LEVIED FOR THE FIRST TIME

Shall an ordinance passed by the __________________________________________________(governing body) of _____________________________________________(city) on _______________________________, 20___ , numbered _________________________ and published in _________________________________________, a newspaper of general circulation in ___________________________________________ County, which levied a tax on the same privileges subject to the Retailers’ Sales Tax Act under Chapter 6, Parts 1–6, Title 67, Tennessee Code Annotated, as the same may be amended, which are exercised within _______________________________________ (city), to be levied and collected as provided in the act and at the rate of ____________________, except as limited or modified by statute, become operative?

YES, for the Ordinance ______________________

NO, against the Ordinance ______________________

SAMPLE BALLOT FOR ELECTION TO INCREASE COUNTY OR CITY SALES TAX

Shall a resolution (or ordinance) passed by the Board of County Commissioners (or city governing body) of ______________________________________________________________(county or city) on ______________________________________________, 20____, numbered ______________________ and published in _____________________________________________________________, a newspaper of general circulation in_______________________________________County, which levied an additional tax on the same privileges subject to the Retailers’ Sales Tax Act under Chapter 6, Parts 1-6, Title 67, Tennessee Code Annotated, as the same may be amended, which are exercised within _____________________________________________________ (county or city), to be levied and collected as provided in the Act at an amended rate of _________________________, except as limited or modified by statute, become operative?

YES, for the Resolution (or Ordinance) ______________________

NO, against the Resolution (or Ordinance) ______________________