2014 South Dakota Codified Laws
Title 2 - LEGISLATURE AND STATUTES
Chapter 15 - Conventions for Amendment of United States Constitution.
§ 2-15-6 Printing of primary election ballots--Form.

2-15-6. Printing of primary election ballots--Form. The county auditor shall, after certification by the secretary of state, immediately prepare and have printed official primary election ballots for all delegates, nominated upon a separate ballot, without party or political designation, in substance as follows:

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PROPOSED AMENDMENT TO THE CONSTITUTION OF THE UNITED STATES

Delegates to the Convention to Ratify the Proposed Amendment
The Congress has proposed an amendment to the Constitution of the United States which provides (insert here the substance of the proposed amendment).
The Congress has also proposed that the said amendment shall be ratified by conventions in the States.
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The Following Candidates for Delegates to the State Convention are	The Following Candidates for Delegates to the State Convention are
In Favor of the ratification of the proposed amendment. To vote for any candidate whose name appears in the column below mark a cross (x) or check mark (.) in the square at the left of the name of the candidate. Do not vote for more candidates than are to be elected to said office.	Opposed to the ratification of the proposed amendment. To vote for any candidate whose name appears in the column below mark a cross (x) or check mark (.) in the square at the left of the name of the candidate. Do not vote for more candidates than are to be elected to said office.
Vote for (insert number of delegates to be nominated).	Vote for (insert number of delegates to be nominated).
DELEGATES TO CONVENTION	DELEGATES TO CONVENTION
* John Doe	* Henry Coe
* Richard Roe	* Samuel Moe

Source: SDC 1939, § 55.1004.