South Dakota Regulations § 5:02:08:05 Certificate of nomination for Independent candidate

The certificate of nomination for an Independent candidate shall be in the following form:

CERTIFICATE OF NOMINATION FOR INDEPENDENT CANDIDATE

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INSTRUCTIONS TO CANDIDATE: The heading of this petition and the declaration of candidacy must be fully completed before the petition is circulated for signatures.

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WE, THE UNDERSIGNED qualified voters of _____________ (here insert the jurisdiction in which the office is sought: name of county, number of legislative district or "state") 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 "State House of Representatives" or "State Senate") ____________________________ at the general election to be held November ____, 20____.

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DECLARATION OF CANDIDATE

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.

(Signed) ________________________________

Sworn to before me this _____ day of __________, 20____.

(Seal) ________________________________

Signature of Officer Administering Oath

My commission expires _________.

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Title of Officer Administering Oath

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The balance of this petition form is prescribed in § 5:02:08:00 .03.