2006 Nebraska Revised Statutes - § 32-955 — Special election by mail; return identification envelope; form.

Section 32-955
Special election by mail; return identification envelope; form.

The return identification envelope shall contain a statement and warning in substantially the following form:

To the best of my knowledge and belief, I declare under penalty of election falsification that:

(1) I am a registered voter in ........... County;

(2) I live in the State of Nebraska at the address printed below;

(3) I have voted the enclosed ballot and am returning it in compliance with Nebraska law; and

(4) I have not voted and will not vote in this election except by this ballot.

Any person who signs this form knowing that any of the information in the form is false shall be guilty of a Class IV felony under section 32-1502 of the statutes of Nebraska. The penalty for a Class IV felony is up to five years imprisonment, a fine of up to ten thousand dollars, or both.

I also understand that failure to complete the information below will invalidate my ballot.

Signature ........................................

Printed Name .....................................

Residence Address ................................

Source:

Laws 1996, LB 964, § 8

~Reissue Revised Statutes of Nebraska