PETITION FOR ANNEXATION OF SPARSELY SETTLED PROPERTY

The undersigned owners of the property described on Exhibit A hereto, which is less than one half mile in width, contiguous to the City of _____________________ and no more than three voters residing thereon, hereby petition for and request annexation of such property into the City limits of the City of _______________, Texas.

OWNERS:

__________________________________________

__________________________________________

ACKNOWLEDGMENT

STATE OF TEXAS §
  §
COUNTY OF _____________ §


This instrument was acknowledged before me by the above owners,
___________________________________________ on this _______ day of ____________________, 200_, and
they acknowledged to me that they executed same for the purposes therein stated.

____________________________________
Notary Public in and for
The State of Texas

Main Office - Fort Worth
6000 Western Place 2 - Suite 200 - Fort Worth, Texas 76107

Denton Office
620 West Hickory - Denton, Texas 76201

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