HomeMy WebLinkAboutExample Petition
MINNESOTA BALLOT QUESTION PETITION
SIGNER’S OATH
“I swear (or affirm) that I know the contents and purpose of this petition and that I signed the petition only once and of my own free will.”
ALL INFORMATION ON THIS PETITION IS SUBJECT TO PUBLIC INSPECTION
***********ALL INFORMATION MUST BE FILLED IN BY PERSON(S) SIGNING THE PETITION UNLESS DISABILITY PREVENTS THE PERSON(S) FROM DOING SO.***********
DATE
PRINT FIRST, MIDDLE, AND LAST
NAME
YEAR OF
BIRTH
(If born in 2003 list
month and day)
SIGNATURE
RESIDENCE ADDRESS
(number and street or route and box number)
(Not a P.O. Box)
CITY OR
TOWNSHIP
COUNTY
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
“Each petition must
have a short title
describing the
purpose of the
petition.” M.R.
8205.1010, subp.
2(C)
The language on
the petition must be
printed in no
smaller than at 10
point type. M.R.
8205.1010, subp.
2(B)
The signer’s oath
and the signature
lines must be on
the same side of
the paper. M.R.
8205.1010, subp.
2(A)
“Each petition
page must have a
signer’s oath in no
smaller than 12 –
point bold type. If
the form of the
signer’s oath is
not specified by
statute, the
following oath
must be used: “I
swear (or affirm)
that I know the
contents and
purpose of this
petition and that
I signed this
petition only
once and of my
own free will.”
M.R. 8205.1010,
subp. 2(F)
“Each petition page must have no more than ten
signatures lines. The signature lines must be
consecutively numbered. Each signature line must
have space for the date of signature; a signature; and
each signatory’s year of birth; printed first, middle,
and last name; and residence address, municipality,
and county.” M.R. 8205.1010, subp. 2(H)
“Each petition
page must include
the following
statement
immediately
above the
signature lines:
“All information
must be filled in
by person(s)
signing the
petition unless
disability
prevents the
person(s) from
doing so.” MR.
8205.1010, subp.
2(G)
Each petition page
must include the
following statement
“All information
on this petition is
subject to public
inspection” M.R.
8205.1010, subp.
2(I)
The petition
cannot be
prepared on paper
larger than 8 ½
inches wide by 14
inches long. M.R.
8205.1010, subp.
2(A)
DO NOT USE THIS AS YOUR ACTUAL PETITION. This is only an example to provide guidance in
preparing your petition
Insert the language of your ballot question here. For specific requirements please refer to the statute or
statutes that authorize the question to be placed on the ballot.
“Each petition page
must have a statement
summarizing the
purpose of the
petition.” M.R.
8205.1010, subp. 2(D)