South Dakota Administrative Rules
Title 5 - Secretary of State
Article 5:02 - State Board of Elections
Chapter 5:02:08 - Petitions
Section 5:02:08:00.03 - Form of petition
Each type of petition must contain the applicable heading as prescribed in this chapter and the following instructions to signers, signature blanks, and verification unless otherwise prescribed for a specific petition:
INSTRUCTIONS TO SIGNERS:
1. Signers of this petition must individually sign their names in the form in which they are registered to vote or as they usually sign their names.
2. Before the petition is filed, each signer or the circulator must add the residence address of the signer and the date of signing. If the signer is a resident of a second or third class municipality, a post office box may be used for the residence address.
3. Before the petition is filed, each signer or the circulator must print the name of the signer in the space provided and add the county of voter registration.
4. Abbreviations of common usage may be used. Ditto marks may not be used.
5. Failure to provide all information requested may invalidate the signature.
|
NAME |
RESIDENCE |
DATE/COUNTY |
|
SIGN 1 --------------------------------------------------- |
STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER --------------------------------------------------------------------------------------------- CITY OR TOWN |
DATE OF SIGNING --------------------------------------------- COUNTY OF REGISTRATION |
|
SIGN 2 --------------------------------------------------- |
STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER --------------------------------------------------------------------------------------------- CITY OR TOWN |
DATE OF SIGNING --------------------------------------------- COUNTY OF REGISTRATION |
|
SIGN 3 --------------------------------------------------- |
STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER --------------------------------------------------------------------------------------------- CITY OR TOWN |
DATE OF SIGNING --------------------------------------------- COUNTY OF REGISTRATION |
|
SIGN 4 --------------------------------------------------- |
STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER --------------------------------------------------------------------------------------------- CITY OR TOWN |
DATE OF SIGNING --------------------------------------------- COUNTY OF REGISTRATION |
|
SIGN 5 --------------------------------------------------- |
STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER --------------------------------------------------------------------------------------------- CITY OR TOWN |
DATE OF SIGNING --------------------------------------------- COUNTY OF REGISTRATION |
|
SIGN 6 --------------------------------------------------- |
STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER --------------------------------------------------------------------------------------------- CITY OR TOWN |
DATE OF SIGNING --------------------------------------------- COUNTY OF REGISTRATION |
VERIFICATION BY PERSON CIRCULATING PETITION
INSTRUCTIONS TO CIRCULATOR: This section (bold) must (unbold) be completed following circulation and before filing.
Print name of the circulator Residence Address City State
I, under oath, state that I circulated the above petition, that each signer personally signed this petition in my presence, and that either the signer or I added the printed name, the residence address of the signer, the date of signing, and the county of voter registration.
_________________________________
Signature of Circulator
Sworn to before me this ______ day of _______________, ______.
(Seal)
________________________________
Signature of Officer Administering Oath
My commission expires _____________.
_________________________________
Title of Officer Administering Oath
General Authority: SDCL 12-1-9(7).
Law Implemented: SDCL 12-1-3(14).
