Rosenberg, TX · Fort Bend County

Petition for Referendum and Affidavit of Circulator

This petition seeks repeal of an attached city ordinance, and its circulator completes an affidavit swearing or affirming that they witnessed each signature on the petition.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The petition identifies the ordinance it seeks to repeal and provides spaces for registered voters to enter their signatures and identifying information. The circulator’s affidavit states that they personally witnessed each signature and that each signature was made by the person named. The circulator completes the affidavit when submitting a petition seeking repeal of an attached ordinance to the city.

Who needs it

A circulator submitting this referendum petition to seek repeal of an attached city ordinance needs to complete the affidavit after witnessing each petition signature.

Why it needs a notary

The form includes a state-of-Texas jurat; the circulator must swear or affirm before a notary that they witnessed each petition signature and sign the affidavit.

How to get this notarized

  1. 1

    Download the Form

    Get the Petition for Referendum and Affidavit of Circulator from the city’s document page.

  2. 2

    Complete the Petition

    Enter the ordinance caption and have petition signers provide the requested information.

  3. 3

    Book an Online Notary

    Schedule a video session with a commissioned online notary for the circulator’s jurat.

  4. 4

    Sign on Video

    Swear or affirm that you witnessed each petition signature and sign the affidavit during the notarial session.

  5. 5

    Submit to the City

    Submit the completed petition to the city and confirm its submission instructions if needed.

Preview the form

The blank PDF straight from Rosenberg. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I notarize the circulator affidavit online?
Complete the petition, then meet with a commissioned online notary by video. Swear or affirm that you witnessed each signature and sign the affidavit as directed during the session.
Do I need to sign the affidavit in front of a notary?
Yes. The form includes a jurat stating that the affidavit was signed under oath before a notary. The circulator should sign during the notarial session.
Can I use an online notary for this form in Texas?
Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Ask the city whether it accepts a remotely notarized version of this petition.
What ordinance does this petition address?
The petition seeks to repeal the ordinance attached as Exhibit A. The form includes a space for the ordinance caption.
Where should I submit the completed petition?
The form is a petition directed to the city, but it does not provide submission instructions. Confirm with the city if unsure.

Ready to notarize your Petition for Referendum and Affidavit of Circulator?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.