5:02:08:17.  Municipal petition for recall. The municipal petition for recall must be in the following form:

PETITION FOR RECALL

IN THE MUNICIPALITY OF ______________

          WE, THE UNDERSIGNED qualified voters of the municipality of ________________, state of South Dakota, petition for a candidate election to be held for the purpose of recalling __________________________ from the office of ______________, based on the following grounds:

(Here list the grounds for recall.)

(Here insert the instructions to signers and signature blanks prescribed in § 5:02:08:00.03.)

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 for recall, that each signer personally signed this petition in my presence, 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, that I attest the legality of the signatures and that each person signing this petition is a qualified voter of the municipality of ________________________.

                                                                                              ________________________________

                                                                                              Signature of Circulator

Sworn to before me this _____ day of __________, ______.

(Seal)

                                                                                              ________________________________

                                                                                              Signature of Officer Administering Oath

My commission expires _________.

                                                                                              ________________________________

                                                                                              Title of Officer Administering Oath

          Source: 4 SDR 26, effective October 27, 1977; 6 SDR 25, effective September 24, 1979; 16 SDR 20, effective August 10, 1989; 25 SDR 8, effective August 3, 1998; 26 SDR 168, effective June 25, 2000; 27 SDR 146, effective July 9, 2001.

          General Authority:SDCL 12-1-9(7).

          Law Implemented:SDCL 9-13-30.