{"data":{"id":"us-mo/mo.-rev.-stat.-116.030","jurisdiction":"us-mo","citation":"Mo. Rev. Stat. § 116.030","heading":"Referendum petition, form — clerical and technical errors to be disregarded, penalties for false signature.","body":"The following shall be substantially the form of each page of referendum petitions on any law passed by the general assembly of the state of Missouri:\nCounty ______\nPage No. ______\nIt is a class A misdemeanor punishable, notwithstanding the provisions of section 560.021, RSMo, to the contrary, for a term of imprisonment not to exceed one year in the county jail or a fine not to exceed ten thousand dollars or both, for anyone to sign any referendum petition with any name other than his or her own, or knowingly to sign his or her name more than once for the same measure for the same election, or to sign a petition when such person knows he or she is not a registered voter.\nPETITION FOR REFERENDUM\nTo the Honorable ______, Secretary of State for the state of Missouri:\nWe, the undersigned, registered voters of the state of Missouri and ______ County (or City of St. Louis), respectfully order that the Senate (or House) Bill No. ______ entitled (title of law), passed by the ______ general assembly of the state of Missouri, at the ______ regular (or special) session of the ______ general assembly, shall be referred to the voters of the state of Missouri, for their approval or rejection, at the general election to be held on the ______ day of ______, ______, unless the general assembly shall designate another date, and each for himself or herself says: I have personally signed this petition; I am a registered voter of the state of Missouri and ______ County (or City of St. Louis); my registered voting address and the name of the city, town or village in which I live are correctly written after my name.\n(Official Ballot title) ______\nCIRCULATOR'S AFFIDAVIT\nState Of Missouri,\nCounty Of ______\nI, ______, being first duly sworn, say (print or type names of signers)\nNAME DATE SIGNED REGISTERED VOTING ADDRESS ZIP CODE CONGR. DIST. NAME\n(Signature) (Street) (City, Town or Village) (Printed or Typed)\n(Here follow numbered lines for signers)\nsigned this page of the foregoing petition, and each of them signed his or her name thereto in my presence; I believe that each has stated his or her name, registered voting address and city, town or village correctly, and that each signer is a registered voter of the state of Missouri and ______ County. FURTHERMORE, I HEREBY SWEAR OR AFFIRM UNDER PENALTY OF PERJURY THAT ALL STATEMENTS MADE BY ME ARE TRUE AND CORRECT AND THAT I HAVE NEVER BEEN CONVICTED OF, FOUND GUILTY OF, OR PLED GUILTY TO ANY OFFENSE INVOLVING FORGERY.\nI am at least 18 years of age. I do ______ do not ______ (check one) expect to be paid for circulating this petition. If paid, list the payer ______\n__________________\nSignature of Affiant\n(Person obtaining signatures)\n__________________\n(Printed Name of Affiant)\n__________________\nAddress of Affiant\nSubscribed and sworn to before me this ______ day of ______, A.D. ______\n__________________\nSignature of Notary\nAddress of Notary\nNotary Public (Seal)\nMy commission expires ______\nIf this form is followed substantially and the requirements of section 116.050 and section 116.080 are met, it shall be sufficient, disregarding clerical and merely technical errors.","path":["Title IX - SUFFRAGE AND ELECTIONS","Chapter 116 - Initiative and Referendum"],"source_url":"https://revisor.mo.gov/main/OneSection.aspx?section=116.030","current_through":"2026 legislative session (floor)","vintage":"","retrieved_at":"2026-09-03T22:23:25Z","sha256":"909a84a2c868e261cd7f7ef8d7a0d6dbf0ca637218297a925850c5d1e7e08f11","source_id":"us-mo","stale":false,"prev":"us-mo/mo.-rev.-stat.-116.025","next":"us-mo/mo.-rev.-stat.-116.040"},"notice":"GroundRules: Original legal text. Not legal advice."}