To be valid, the petition must contain:
(1) a heading, as follows: "Petition for a Local Option Election to Approve the Legalization of Pari-mutuel Wagering on Horse Races" or "Petition for a Local Option Election to Approve the Legalization of Pari-mutuel Wagering on Greyhound Races," as appropriate;
(2) a statement of the issue to be voted on, in the same words used in the application;
(3) a statement immediately above the signatures of the petitioners, as follows: "It is the hope, purpose, and intent of the petitioners whose signatures appear below that pari-mutuel wagering on horse races be legalized in __________ County" or "It is the hope, purpose, and intent of the petitioners whose signatures appear below that pari-mutuel wagering on greyhound races be legalized in __________ County," as appropriate;
(4) lines and spaces for the names, signatures, addresses, and voter registration certificate numbers of the petitioners; and
(5) the date of issuance, the serial number, and the seal of the county clerk on each page.