<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 05:02:08:00.03 Form of petition.</title> <META NAME="Keywords" Content="Administrative Rules 05:02:08:00.03"> <META NAME="Description" Content="Administrative Rules 05:02:08:00.03 Form of petition."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="050208000ZZ03D_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2010-08-23T13:30:00Z</o:Created> <o:LastSaved>2010-08-23T13:30:00Z</o:LastSaved> <o:Pages>3</o:Pages> <o:Words>596</o:Words> <o:Characters>3402</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>28</o:Lines> <o:Paragraphs>7</o:Paragraphs> <o:CharactersWithSpaces>3991</o:CharactersWithSpaces> <o:Version>10.6858</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Print</w:View> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; 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</span><b style='mso-bidi-font-weight:normal'>5:02:08:00.03.&nbsp;&nbsp;Form of petition.</b> 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:</p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><b style='mso-bidi-font-weight:normal'>INSTRUCTIONS TO SIGNERS:<o:p></o:p></b></p> <p class=MsoNormal style='margin-left:.3in;text-align:justify;text-indent:-.3in'>1.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>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.</p> <p class=MsoNormal style='margin-left:.3in;text-align:justify;text-indent:-.3in'>2.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>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.</p> <p class=MsoNormal style='margin-left:.3in;text-align:justify;text-indent:-.3in'>3.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>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.</p> <p class=MsoBodyText style='margin-left:.3in;text-indent:-.3in'>4.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Abbreviations of common usage may be used. Ditto marks may not be used.</p> <p class=MsoBodyText style='margin-left:.3in;text-indent:-.3in'>5.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Failure to provide all information requested may invalidate the signature.</p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><o:p>&nbsp;</o:p></p> <table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 style='margin-left:5.4pt;border-collapse:collapse;border:none;mso-border-alt: solid black .75pt;mso-padding-alt:0in 5.4pt 0in 5.4pt;mso-border-insideh:.75pt solid black; mso-border-insidev:.75pt solid black'> <tr style='mso-yfti-irow:0;height:19.75pt'> <td width=180 valign=top style='width:135.0pt;border:solid black 1.0pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:19.75pt'> <p class=MsoNormal align=center style='text-align:center;line-height:12.0pt; mso-line-height-rule:exactly;tab-stops:.4in 1.4in 2.4in 3.4in'>NAME</p> </td> <td width=306 valign=top style='width:229.5pt;border:solid black 1.0pt; border-left:none;mso-border-left-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:19.75pt'> <p class=MsoNormal align=center style='text-align:center;line-height:12.0pt; mso-line-height-rule:exactly;tab-stops:.4in 1.4in 2.4in 3.4in'>RESIDENCE</p> </td> <td width=156 valign=top style='width:117.0pt;border:solid black 1.0pt; border-left:none;mso-border-left-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:19.75pt'> <p class=MsoNormal align=center style='text-align:center;line-height:12.0pt; mso-line-height-rule:exactly;tab-stops:.4in 1.4in 2.4in 3.4in'>DATE/COUNTY</p> </td> </tr> <tr style='mso-yfti-irow:1;height:.5in'> <td width=180 valign=top style='width:135.0pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>SIGN<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>1 ---------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>PRINT<o:p></o:p></span></p> </td> <td width=306 valign=top style='width:229.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>CITY OR TOWN<o:p></o:p></span></p> </td> <td width=156 valign=top style='width:117.0pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>DATE OF SIGNING<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>COUNTY OF REGISTRATION<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:2;height:.5in'> <td width=180 valign=top style='width:135.0pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>SIGN<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>2 ---------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>PRINT<o:p></o:p></span></p> </td> <td width=306 valign=top style='width:229.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>CITY OR TOWN<o:p></o:p></span></p> </td> <td width=156 valign=top style='width:117.0pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>DATE OF SIGNING<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>COUNTY OF REGISTRATION<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:3;height:.5in'> <td width=180 valign=top style='width:135.0pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>SIGN<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>3 ---------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>PRINT<o:p></o:p></span></p> </td> <td width=306 valign=top style='width:229.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>CITY OR TOWN<o:p></o:p></span></p> </td> <td width=156 valign=top style='width:117.0pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>DATE OF SIGNING<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>COUNTY OF REGISTRATION<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:4;height:.5in'> <td width=180 valign=top style='width:135.0pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>SIGN<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>4 ---------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>PRINT<o:p></o:p></span></p> </td> <td width=306 valign=top style='width:229.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>CITY OR TOWN<o:p></o:p></span></p> </td> <td width=156 valign=top style='width:117.0pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>DATE OF SIGNING<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>COUNTY OF REGISTRATION<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:5;height:.5in'> <td width=180 valign=top style='width:135.0pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>SIGN<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>5 ---------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>PRINT<o:p></o:p></span></p> </td> <td width=306 valign=top style='width:229.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>CITY OR TOWN<o:p></o:p></span></p> </td> <td width=156 valign=top style='width:117.0pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>DATE OF SIGNING<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>COUNTY OF REGISTRATION<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:6;mso-yfti-lastrow:yes;height:.5in'> <td width=180 valign=top style='width:135.0pt;border:solid black 1.0pt; border-top:none;mso-border-top-alt:solid black .75pt;mso-border-alt:solid black .75pt; padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>SIGN<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>6 ---------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>PRINT<o:p></o:p></span></p> </td> <td width=306 valign=top style='width:229.5pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>STREET AND NUMBER OR RURAL ROUTE AND BOX NUMBER<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------------------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>CITY OR TOWN<o:p></o:p></span></p> </td> <td width=156 valign=top style='width:117.0pt;border-top:none;border-left: none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt; mso-border-top-alt:solid black .75pt;mso-border-left-alt:solid black .75pt; mso-border-alt:solid black .75pt;padding:0in 5.4pt 0in 5.4pt;height:.5in'> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>DATE OF SIGNING<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>---------------------------------------------<o:p></o:p></span></p> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><span style='font-size:7.0pt;mso-bidi-font-size: 12.0pt'>COUNTY OF REGISTRATION<o:p></o:p></span></p> </td> </tr> </table> <p class=MsoNormal style='line-height:12.0pt;mso-line-height-rule:exactly; tab-stops:.4in 1.4in 2.4in 3.4in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'>VERIFICATION BY PERSON CIRCULATING PETITION</p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'>INSTRUCTIONS TO CIRCULATOR: This section (bold) <b style='mso-bidi-font-weight:normal'>must</b> (unbold) be completed following circulation and before filing.</p> <p class=MsoNormal><o:p>&nbsp;</o:p></p> <p class=MsoNormal><o:p>&nbsp;</o:p></p> <p class=MsoNormal>Print name of the circulator<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Residence Address<span style='mso-tab-count:4'>&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; </span>City<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>State</p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>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.</p> <p class=MsoNormal align=right style='text-align:right;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'>_________________________________</p> <p class=MsoNormal style='tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='mso-tab-count:15'>&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; </span>Signature of Circulator</p> <p class=MsoNormal align=right style='text-align:right;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'>Sworn to before me this ______ day of _______________, ______.</p> <p class=MsoNormal style='tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='tab-stops:283.5pt right 8.3in'>(Seal)</p> <p class=MsoNormal style='tab-stops:279.0pt right 8.3in'><span style='mso-tab-count:1'>&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; </span>________________________________</p> <p class=MsoNormal style='tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='mso-tab-count:15'>&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; </span>Signature of Officer Administering Oath</p> <p class=MsoNormal align=right style='text-align:right;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'>My commission expires _____________.</p> <p class=MsoNormal align=right style='text-align:right;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'>_________________________________</p> <p class=MsoNormal style='tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='mso-tab-count:15'>&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; </span>Title of Officer Administering Oath</p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 16 SDR 20, effective August 10, 1989; 16 SDR 203, effective May 28, 1990; 19 SDR 12, effective August 5, 1992; 23 SDR 115, effective January 22, 1997; 26 SDR 168, effective June 25, 2000.</p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>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;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=12-1-3">12-1-3(14).</A></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><o:p>&nbsp;</o:p></p> </div> </body> </html>