Every person who obtains signatures of voters upon nomination papers shall under oath sign the following statement:
"I, _____________________________________ , of _____________________________________ , under oath, make affidavit and say that the signers of the within nomination paper (or papers) did so sign the paper (or papers) in my presence.
_____________________________________
State of Rhode Island
_____________________________________ , Sc.
Subscribed and sworn to before me this _________ day of ___________________ , A.D. 20 _________.
Notary Public"
R.I. Gen. Laws § 17-14-10