Attorney's Note

Under the Missouri Laws, punishments for crimes depend on the classification. In the case of this section:
ClassPrisonFine
Class A misdemeanorup to 1 yearup to $2,000
For details, see Mo. Rev. Stat.§ 558.011

Terms Used In Missouri Laws 116.030

  • County: means any one of the several counties of this state or the city of St. See Missouri Laws 116.010
  • following: when used by way of reference to any section of the statutes, mean the section next preceding or next following that in which the reference is made, unless some other section is expressly designated in the reference. See Missouri Laws 1.020
  • Forgery: The fraudulent signing or alteration of another's name to an instrument such as a deed, mortgage, or check. The intent of the forgery is to deceive or defraud. Source: OCC
  • General election: means the first Tuesday after the first Monday in November in even-numbered years. See Missouri Laws 116.010
  • person: may extend and be applied to bodies politic and corporate, and to partnerships and other unincorporated associations. See Missouri Laws 1.020
  • State: when applied to any of the United States, includes the District of Columbia and the territories, and the words "United States" includes such district and territories. See Missouri Laws 1.020
  • Voter: means a person registered to vote in accordance with section 115. See Missouri Laws 116.010

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:

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County ______
Page No. ______
It 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.
PETITION FOR REFERENDUM
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 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.
(Official Ballot title) ______
CIRCULATOR’S AFFIDAVIT
State Of Missouri,
County Of ______
I, ______, being first duly sworn, say (print or type names of signers)
NAME DATE SIGNED REGISTERED VOTING ADDRESS ZIP CODE CONGR. DIST. NAME
(Signature) (Street) (City, (Printed or
Town or Village) Typed)
(Here follow numbered lines for signers)
signed 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.
I 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 ______
__________________?
Signature of Affiant
(Person obtaining signatures)
__________________?
(Printed Name of Affiant)
__________________?
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 ______

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If 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.