R.I. Gen. Laws § 17-14-10: Affidavit of person obtaining signatures.

Every person who obtains signatures of voters upon nomination papers shall under oath sign the following statement:

“I, _______________________________________, of the city/town of _______________________________________, under oath, make affidavit and say that the signers of the within nomination paper did so sign the paper in my presence.

_______________________________________________________________________

State of Rhode Island County of

_____________________________,

Subscribed and sworn to before me this___________ day of _____________________ , 20___________ .

_______________________________________________________________________

Signature of Notary Public

_______________________________________________________________________

Printed Name of Notary Public

_______________________________________________________________________

Notary Public ID Number

_______________________________________________________________________

Date Commission Expires”