S.D. Admin. R. 5:02:08:15
The municipal initiative petition must be in the following form:
MUNICIPAL INITIATIVE PETITION
IN THE MUNICIPALITY OF ______________
WE, THE UNDERSIGNED qualified voters of the municipality of __________________, the state of South Dakota, petition that the following (ordinance) (resolution) be submitted to the voters of that municipality for their approval or rejection pursuant to law.
The proposed (ordinance) (resolution) in proper form is as follows:
Here state verbatim the proposed (ordinance) (resolution).
(Here insert instructions to voters 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 initiative petition, 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 resident and 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
S.D. Admin. R. 5:02:08:15
General Authority: SDCL 12-1-9(7).
Law Implemented: SDCL 9-20-2, 9-20-9.