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

1. (Signed) ________________________________

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

2. (Seal) ________________________________

   Signature of Officer Administering Oath

   My commission expires _________.

   ________________________________

   Title of Officer Administering Oath

   The balance of this petition form is prescribed in § 5:02:08:00.03.

CERTIFICATE OF NOMINATION FOR INDEPENDENT CANDIDATE

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

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____.

DECLARATION OF CANDIDATE

I, _________________________ (printnamehereexactlyasyouwantitontheelectionballot), 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.

Source: 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.

General Authority: SDCL 12-1-9(7).

Law Implemented: SDCL 12-6-5 , 12-6-7.1 , 12-6-8 , 12-7-1.

Prior versions effective: 2008-09-08.