<html> <head> <title>Rule 05:02:08:05 Certificate of nomination for Independent candidate.</title> <META NAME="Keywords" Content="Administrative Rules 05:02:08:05"> <META NAME="Description" Content="Administrative Rules 05:02:08:05 Certificate of nomination for Independent candidate."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:12.0pt; font-family:"Times New Roman",serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; font-family:"Calibri",sans-serif;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>5:02:08:05.&nbsp;&nbsp;Certificate of nomination for Independent candidate.</b> The certificate of nomination for an Independent candidate shall be in the following form:</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal align=center style='text-align:center'><b>CERTIFICATE OF NOMINATION FOR INDEPENDENT CANDIDATE</b></p> <div style='border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 1.0pt 0in'> <p class=MsoNormal style='border:none;padding:0in'>&nbsp;</p> </div> <p class=MsoNormal style='text-align:justify'>INSTRUCTIONS TO CANDIDATE: The heading of this petition and the declaration of candidacy must be fully completed before the petition is circulated for signatures<b>.</b></p> <div style='border:none;border-top:solid windowtext 1.0pt;padding:1.0pt 0in 0in 0in'> <p class=MsoNormal style='text-align:justify;border:none;padding:0in'>&nbsp;</p> </div> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; WE, THE UNDERSIGNED qualified voters of _____________ (here insert the jurisdiction in which the office is sought: name of county, number of legislative district or &quot;state&quot;) of South Dakota, nominate ________________ of ___________ County, whose mailing address is ____________________, SD _________, and whose principal residence address is _______________________, ____________, SD ______, as an Independent candidate for the office of (if a legislative candidate insert &quot;State House of Representatives&quot; or &quot;State Senate&quot;) ____________________________ at the general election to be held November ____, 20____.</p> <div style='border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 1.0pt 0in'> <p class=MsoNormal style='text-align:justify;border:none;padding:0in'>&nbsp;</p> </div> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal align=center style='text-align:center'>DECLARATION OF CANDIDATE</p> <p class=MsoNormal align=center style='text-align:center'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; I, _________________________ (print name here exactly as you want it on the election ballot), under oath, declare that I am eligible to seek the office for which I am a candidate and that if I am a legislative or county commission candidate I reside in the district from which I am a candidate. If elected, I will qualify and serve in that office.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal align=right style='text-align:right'>(Signed) ________________________________</p> <p class=MsoNormal align=right style='text-align:right'>&nbsp;</p> <p class=MsoNormal>Sworn to before me this _____ day of __________, 20____.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>(Seal)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ________________________________</p> <p class=MsoNormal align=right style='text-align:right'>Signature of Officer Administering Oath</p> <p class=MsoNormal>My commission expires _________.</p> <p class=MsoNormal align=right style='text-align:right'>________________________________</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Title of Officer Administering Oath</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <div style='border:none;border-top:solid windowtext 1.0pt;padding:1.0pt 0in 0in 0in'> <p class=MsoNormal style='text-align:justify;border:none;padding:0in'>&nbsp;</p> </div> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The balance of this petition form is prescribed in &#167;&nbsp;5:02:08:00.03.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 2 SDR 46, effective December 30, 1975; 4 SDR 85, effective June 14, 1978; 6 SDR 25, effective September 24, 1979; 8 SDR 24, effective September 16, 1981; 16 SDR 20, effective August 10, 1989; 16 SDR 203, effective May 28, 1990; 33 SDR 230, effective July 1, 2007; 35 SDR 48, effective September 8, 2008; 46 SDR 42, effective September 30, 2019.</p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=12-1-9">12-1-9(7).</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=12-6-5">12-6-5</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=12-6-7.1">12-6-7.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=12-6-8">12-6-8</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=12-7-1">12-7-1.</A></p> <p class=MsoNormal style='text-align:justify'>&nbsp;</p> </div> </body> </html>