RECALL PETITION
We, the undersigned, being qualified electors request that ____________________________________(name of the individual being recalled) the___________________(office of individual being recalled) be recalled for the reason or reasons of______________________________.
RECALL SPONSORING COMMITTEE
The following are the names and addresses of the qualified electors of the state of North Dakota and the political subdivision who, as the sponsoring committee for the petitioners, represent and act for the petitioners in accordance with law:
Complete Residential,
Rural Route,
or General
Name Delivery Address
1. _____________________(Chairperson) _________________________
2. __________________________________________________________
3. __________________________________________________________
4. __________________________________________________________
5. __________________________________________________________
INSTRUCTIONS TO PETITION SIGNERS
You are being asked to sign a petition. You must be a qualified elector. This means you are eighteen years old, you have lived in North Dakota for thirty days, and you are a United States citizen. All signers shall also legibly print their name, complete residential, rural route, or general delivery address, and date of signing on the petition. Every qualified elector signing a petition must do so in the presence of the individual circulating the petition.
QUALIFIED ELECTORS
Month, Day, Year | Signed Name of Qualified Elector | Printed Name of Qualified Elector | Complete Residential, Rural Route, or General Delivery Address | City State, Zip Code |
1. __ | ||||
2. __ | ||||
3. ___ | ||||
4. ___ | ||||
5. __ | ||||
6. __ | ||||
7. __ | ||||
8. ___ |
The number of signature lines on each page of a printed petition may vary if necessary to accommodate other required textual matter.
State of North Dakota | ) | |
) | ss. | |
County of________________ | __ ) |
(county where signed)
I,________________, being sworn, say that I am a qualified elector; that I
(circulator's name)
reside at____________________________;
(address)
that each signature contained on the attached petition was executed in my presence; and that to the best of my knowledge and belief each individual whose signature appears on the attached petition is a qualified elector; and that each signature contained on the attached petition is the genuine signature of the individual whose name it purports to be.
(signature of circulator)
Subscribed and sworn to before me on______________, _____, at
____________, North Dakota.
(city)
(Notary Seal) ______________________________________________ (signature of notary) Notary Public My commission expires_________________
N.D.C.C. § 16.1-01-09.1