Indiana Code Title 20. Education § 20-46-9-9

Sec. 9. The question to be submitted to the voters in the referendum must read as follows:

“Shall __________ (insert the name of the school corporation) increase property taxes paid to the school corporation for no more than __________ (insert the number of years immediately following the holding of the referendum) years for the purpose of funding __________ (insert a brief description of the purposes) by imposing a property tax rate that does not exceed __________ (insert property tax rate) and results in a maximum annual amount that does not exceed __________ (insert maximum amount of annual levy).  If this school safety referendum public question is approved by the voters, for a median residence of __________ (insert the school corporation's median household assessed value, rounded up to the next fifty thousand dollars ($50,000)), the property's annual property tax bill would increase by __________ (insert dollar amount, rounded up to the next whole dollar) per year. (If, in the previous five (5) years, the school corporation has conducted a school safety referendum public question, the following shall also be included in the ballot language.) The most recent school safety referendum public question proposed by the school corporation was held in __________ (insert year) and __________ (insert whether the measure passed or failed).”.