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"
R.I. Gen. Laws § 17-14-10