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Ohio Administrative Code (Last Updated: January 12, 2021) |
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117 Auditor of State |
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Chapter117-9. Villages |
117-9-03. Filing affidavit of failure of performance of fiscal officer
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(A) If a fiscal officer, as defined in section 733.78 of the Revised Code, purposely, knowingly, or recklessly fails to perform a fiscal duty expressly imposed by law, with respect to the fiscal duties of said office, or purposely, knowingly, or recklessly commits any act expressly prohibited by law, with respect to the fiscal duties of said office, a member of the legislative authority of the village may submit a sworn affidavit alleging the violation, together with evidence supporting the allegations to the auditor of state. Any person who knowingly makes a false statement in such a sworn affidavit is guilty of falsification under section 2921.13 of the Revised Code, a felony of the third degree.
(B) The sworn affidavit and evidence shall be submitted to the office of the auditor of state in the following form and manner:
"AFFIDAVIT (Type or print full name)
The undersigned, being a member of the legislative authority of the following village, to wit: ___________________________ , ________________________ County, Ohio, hereby states that _________________________________, the or a fiscal officer of said village has purposely, knowingly, or recklessly failed to perform a fiscal duty expressly imposed by law, with respect to the fiscal duties of said office, or has purposely, knowingly, or recklessly committed any act expressly prohibited by law, with respect to the fiscal duties of said office.
The substance facts constituting the of the purposeful, knowing, or reckless failure of the said fiscal officer to perform a fiscal duty expressly imposed by law, with respect to the fiscal duties of said office, or of the said fiscal officer's purposeful, knowing, or reckless commission of any act expressly prohibited by law, with respect to the fiscal duties of said office, is set forth herein below are as follows:
__________________________________________ Add additional pages as may be necessary.
Evidence supporting the foregoing allegations is as follows:
__________________________________________ Add additional pages as may be necessary.
BY SIGNING BELOW, YOU ARE SWEARING TO THE TRUTH OF THE ALLEGATION(S) AND THE AUTHENTICITY OF ALL DOCUMENTS AND EXHIBTS WHICH ARE DEEMED INCORPORATED HEREIN. ANY PERSON WHO KNOWINGLY MAKES A FALSE STATEMENT IN SUCH AN AFFIDAVIT IS GUILTY OF FALSIFICATION UNDER SECTION 2921.13 OF THE OHIO REVISED CODE, A FELONY OF THE THIRD DEGREE.
________________________________________________________
SIGNATURE OF AFFIANT
________________________________________________________ ADDRESS OF AFFIANT
________________________________________________________ EMAIL ADDRESS OF AFFIANT
________________________________________________________ PHONE NUMBER OF AFFIANT
Date: _______________________________________
TO CONSTITUTE A VALID COMPLAINT, THIS AFFIDAVIT MUST BE SIGNED BEFORE A NOTARY PUBLIC. FAILURE TO SIGN AND TO INCLUDE A PROPERLY COMPLETED JURAT (BELOW) WILL RESULT IN THE IMMEDIATE DISMISSAL OF THE COMPLAINT.
STATE OF OHIO )
_______________ ) ss:
_______ COUNTY )
Before me, a Notary Public, in and for said county and state, personally appeared the Affiant identified above who, after having been first duly sworn pursuant to law, executed the foregoing document, and averred that the same was his own free act and deed, and that the content thereof is true to the best of his knowledge, understanding, and belief.
________________________________________________________
NOTARY PUBLIC
My Commission Expires:"
(C) Any such affidavit, together with any supporting evidence accompanying the same, shall be delivered to the offices of the auditor of state in Columbus, Ohio, or forwarded to the auditor of state at said office, via certified United States mail with return receipt requested, postage prepaid. The effective receipt of any such affidavit and any supporting evidence accompanying the same shall be the date of actual delivery to and receipt by the auditor of state.