4. If there is more than one ballot to be voted by an elector of the precinct and the voting system will be unable to tabulate one or more of the ballots, one of each kind must be included and a secrecy envelope and a return envelope must be enclosed with the ballot or ballots. The front of the return envelope must bear the official title and post-office address of the officer supplying the voter with the ballot and upon the other side a printed voter's affidavit in substantially the following form:
Precinct ______________________________________________ Name ________________________________________________ Residential Address _____________________________________ City ___________________________ ND Zip Code ____________
Under penalty of possible criminal prosecution for making a false statement, I swear that I reside at the residential address provided above, that I have resided in my precinct for at least thirty days next preceding the election, and this is the only ballot I will cast in this election.
Applicant's Signature ____________________________________
Date _________________________________________________
The signature on this affidavit will be compared to the signature on the affidavit included in the application for the absentee ballot.