<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0-000004 { margin-top: 0; line-height: 115.0%; margin-bottom: 10pt; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: Calibri; font-size: 11pt; } span.s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000005 { color: #000000; background: white; font-size: 11pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=05:02:08:07.02"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000">5</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000">:</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000">02</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000">:</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000">08</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000">:</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000000">07.02</span></a><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000001">.  Affidavit to be submitted with initiative, referendum, or initiated constitutional amendment petition to be circulated.</span><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0"> </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">The affidavit to be submitted with the petition in final format before circulating an initiative, referendum, or initiated constitutional amendment shall be in the following form:</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">STATE OF SOUTH DAKOTA)</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">)    SS        AFFIDAVIT OF PETITION TO BE CIRCULATED</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">COUNTY OF ______________)</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">    I, under oath, state that the attached petition sheet constitutes the petition in final format to be circulated and I am one of the sponsors to this ballot measure.</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">_____________________________________________________________</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">Title of Ballot Measure__________________________________________</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                    ________________________________</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                    Print name of sponsor</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">______________________________________________________________</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">Print name and complete address of the sponsor</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                                        _________________________________</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                                        Signature of Sponsor</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">Sworn to before me this _____ day of __________, 20 _____.</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">    (Seal)</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                                        </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">__________________________________</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                                        Signature of Officer Administering Oath</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">My commission expires: ___________.</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                                        __________________________________</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">                                                        Title of Officer Administering Oath</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">    </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000001">Source:</span><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0"> </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">42</span><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0"> SDR </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">178</span><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">, effective </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">July 1, 2016</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">; 44 SDR 94, effective December 4, 2017.</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">    </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000001">General Authority:</span><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=12-1-9"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">12</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">-</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">1</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">-</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">9</span></a><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">(7)</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">    </span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000001">Law Implemented:</span><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=2-1-1.1"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">2</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">-</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">1</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">-</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">1.1</span></a><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=2-1-1.2"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">2</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">-</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">1</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">-</span><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">1.2</span></a><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=2-1-3.1"><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0-000003">2-1-3.1</span></a><span class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73C0">.</span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000002"> </span></p><p dir="ltr" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73P0-000004"><span xml:space="preserve" class="s13acf343-6bda-4dcf-bb0f-a688c0ec0a73000005"> </span></p></div></body></html>