05:02:08:36Form

of petition for conservation district supervisor -- Nonpartisan election. The nominating petition for conservation district supervisor must be in the following form: NONPOLITICAL CONSERVATION DISTRICT PETITION CONSERVATION DISTRICT SUPERVISOR ______________________________________________________________________________ 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 registered voters of ______________________________ Conservation District in _______________________ County(ies), South Dakota, nominate ________________________________ of _____________ County, State of South Dakota, whose mailing address is ______________________________, __________________, SD _______, as a candidate for the office of Conservation District Supervisor, for ______ "a four" ______ "the remaining two years of a four" (place check mark (ü) in front of the correct option) year term, within the ___________________ Conservation District at the general election to be held on November ______, 20_____. ______________________________________________________________________________ DECLARATION OF CANDIDATE I, ___________________________ (print name here exactly as you want it on the election ballot), under oath, declare that I am registered to vote in ___________________ County, and that I am eligible to seek the office for which I am a candidate. If nominated and elected, I will qualify and serve as Conservation District Supervisor. (Signed)_____________________________ Sworn to before me this _____ day of __________________, 20______. (Seal) ________________________________ Signature of Officer Administering Oath ________________________________ Title of Officer Administering Oath My commission expires __________. _____________________________________________________________________________ The balance of this petition form is prescribed in § 5:02:08:00.03.

Source: 20 SDR 4, effective July 19, 1993; 27 SDR 146, effective July 9, 2001; 44 SDR 94, effective December 4, 2017; 47 SDR 37, effective October 6, 2020.