I hereby swear that I will use the list of registered voters of ....... County, Nebraska, (or the State of Nebraska) only for the purposes prescribed in section 32-330 and for no other purpose, that I will not permit the use or copying of such list for unauthorized purposes, and that I will not post, display, or make such list accessible on the Internet.
I hereby declare under the penalty of election falsification that the statements above are true to the best of my knowledge.
The penalty for election falsification is a Class IV felony.
(Signature of person acquiring list) .................
Subscribed and sworn to before me this .... day of ........ 20...
(Signature of officer) ....................................
(Name and official title of officer) ..........................
Neb. Rev. Stat. §§ 32-330