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