Amend HB 2803 (house committee report) as follows:
(1)  On page 1, line 7, strike "Subsection (i)" and substitute "Subsections (i) and (j)".
(2)  On page 1, between lines 11 and 12, insert the following:
(j)  The secretary of state shall prescribe a form for the signed statement required by Subsection (i).