116.040. Initiative petition for law or constitutional amendment, form--clerical and technical errors to be disregarded, penalties for false signature.

Initiative petition for law or constitutional amendment,form--clerical and technical errors to be disregarded, penaltiesfor false signature.

116.040. The following shall be substantially the form of each page ofeach petition for any law or amendment to the Constitution of the state ofMissouri proposed by the initiative:

County ..........................

Page No. ........................

It is a class A misdemeanor punishable, notwithstanding the provisions ofsection 560.021, RSMo, to the contrary, for a term of imprisonment not toexceed one year in the county jail or a fine not to exceed ten thousanddollars or both, for anyone to sign any initiative petition with any nameother than his or her own, or knowingly to sign his or her name more than oncefor the same measure for the same election, or to sign a petition when suchperson knows he or she is not a registered voter.

INITIATIVE PETITION To the Honorable .........., Secretary of State for the state of Missouri:

We, the undersigned, registered voters of the state of Missouri and.......... County (or city of St. Louis), respectfully order that thefollowing proposed law (or amendment to the constitution) shall be submittedto the voters of the state of Missouri, for their approval or rejection, atthe general election to be held on the ........ day of .........., ....., andeach for himself or herself says: I have personally signed this petition; I ama registered voter of the state of Missouri and ........ County (or city ofSt. Louis); my registered voting address and the name of the city, town orvillage in which I live are correctly written after my name. CIRCULATOR'S AFFIDAVIT STATE OF MISSOURI, COUNTY OF ............

I, .........., being first duly sworn, say (print or type names of signers)

REGISTERED VOTING NAME DATE ADDRESS ZIP CONGR. NAME (Signature)Signed (Street)(City, CODE DIST. (Printed

Town or Village) or Typed) (Here follow numbered lines for signers) signed this page of the foregoing petition, and each of them signed his orher name thereto in my presence; I believe that each has stated his or hername, registered voting address and city, town or village correctly, and thateach signer is a registered voter of the state of Missouri and ..........County.

.........................

Signature of Affiant

(Person obtaining

signatures)

.........................

Address of Affiant Subscribed and sworn to before me this ...... day of ......., A.D. .... .

.........................

Signature of Notary

Address of Notary Notary Public (Seal) My commission expires ................................ If this form is followed substantially and the requirements of section116.050 and section 116.080 are met, it shall be sufficient, disregardingclerical and merely technical errors.

(L. 1980 S.B. 658, A.L. 1986 H.B. 1471, et al., A.L. 1997 S.B. 132, A.L. 1999 H.B. 676)

Effective 6-16-99