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Statement One or More Petition Circulators Will Be Paid SEL 301 Initiative/Referendum Only rev 1/06: ORS 250,045, ORS 250,165, ORS 255,135 o Prospective Petition initialfiling with filing officer IIWe hereby declare one or more petition circulators will be paid money or other valuable consideration for obtaining signatures of active registered voters on the attached petition. I/We understand the filing officer must be notified not later than the 10th day after I/we first have knowledge or should have had knowledge that no petition circulator will be compensated for obtaining signatures. By signing this document, I hereby state that no circulators will be compensated on this petition based on the number of signatures obtained by the circulator. o Completed Petition signaturessubmittedforverification By signing this document, I hereby state that no circulators have been compensated on this petition based on the number of signatures obtained by the circulator. subject of initiative or referendum petition signed date signed date signed signed signed date signed All chief petitioners for an initiative or referendum petition must sign this statement. Statement No Petition Circulators Will Be Paid SEL 301 Initiative/Referendum Only rev 1/06: ORS 250,045, ORS 250,165, ORS 250,265, ORS 255,135 o Prospective Petition initialfilingwithfilingofficer I/We hereby declare no petition circulators will be paid money or other valuable consideration for obtaining signatures of active registered voters on the attached petition. I/We understand the filing officer must be notified not later than the 10th day after I/we first have knowledge or should have had knowledge that any petition circulator will be compensated for obtaining signatures. By signing this document, I hereby state that no circulators will be compensated on this petition. o Comp leted Petition signatures submitted for verification By signing this document, I hereby state that no circulators were compensated for obtaining signatures on the attached petition. subject of initiative or referendum petition signed date signed date signed signed signed date signed All chief petitioners for an initiative or referendum petition must sign this statement.