Utah Code § 10-2-704

Form of ballot
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The form of the ballot used to vote on the issue of dissolution shall be separate from any other
ballot and shall read substantially as follows: 
______________________________________________________________________________
Shall the municipality of __________________
 
Yes
 (insert name)
be dissolved?
 
No
______________________________________________________________________________

 The voters shall mark their ballots with a cross (x) opposite the word "yes" or "no".

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