Hamilton County Residents Against Annexation

I am a resident of Hamilton County and oppose annexation by the city of Chattanooga. I/We chose to reside
outside the city limits of Chattanooga, and do not wish to be governed by the ordinances and regulations of the
city of Chattanooga, nor wish to receive services from the city or pay taxes to the same.
Date: ________/________/_________

Homeowner Name: _________________________________________

Address: __________________________________________________

City:___________________________________ State:______ Zip:___________

Phone Number: ____________________________________________

Additional Adults 18 and over (“Voters”) living at this address who oppose annexation:

Signature(s):

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Additional comments you would like to make to the City of Chattanooga regarding the proposed annexation:

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Please print this form, fill out, and mail to: HCRAA 6940 Lee Highway, Suite 107 Chattanooga, Tn 37421