The petition provided for in section 29-1401 shall include the following:
(1) Printed name, signature, and address of each petitioner. The omission of a printed name of a petitioner shall not disqualify a person as a petitioner;
(2) Date of signing by each petitioner, which date shall be not more than ninety days prior to the date of filing of the petition;
(3) A recital as to the reason for requesting the convening of the grand jury which shall include a specific reference to the statute or statutes which are alleged to have been violated; and
(4) A form of petition which shall be substantially as follows: .tb 10 42 IN THE DISTRICT COURT OF ................ COUNTY, NEBRASKA IN RE THE APPLICATION OF\) \) REGISTERED VOTERS OF .............. COUNTY,\) PETITION \) NEBRASKA, FOR A GRAND JURY.\) .tb 10 COME NOW the following registered voters of .......... County, Nebraska, and represent to the court that it is to the best interests of society that a grand jury be called by the court pursuant to sections 29-1401 to 29-1419 for the purpose of investigating alleged violations of the laws of Nebraska by ........ of ........ County, Nebraska, including, but not limited to the following alleged unlawful acts, to wit: WHEREFORE, the petitioners pray that an order be entered providing as follows: 1. That the clerk of the district court of ......... County, Nebraska, be ordered and directed to prepare and submit a grand jury list as provided by law. 2. That a grand jury be called to sit for the purpose of considering the alleged illegal acts set forth in this petition and for such other matters as might properly come before the jury. 3. That a date and time be set for convening the grand jury and the clerk of the district court proceed to have the personnel of the grand jury determined and the same notified as required by law. .tb 17 30 41 Printed Name\ Signature \Address\Date of Signing .tb 17 30 41 45 \\\\\Petition .li on 1 ............ ......... ........ ............. .li off .tb 5 (Provide space for not more than twenty signatures on each page) .tb 5 25 STATE OF NEBRASKA\) \) ss .li on ......... County\) .li off .li on ........, being first duly sworn, deposes and says that he .li off (name of circulator) or she is the circulator of the foregoing petition containing ........... signatures; that each person whose name appears on such petition personally signed such petition in the presence of such circulator; that the date appearing to the right of each signature is the correct date on which such signature was affixed to the petition; that he or she believes that each signer has stated his or her address correctly; that he or she believes that each petitioner, when he or she signed the petition, was a registered voter residing within the boundaries of such county; and that affiant stated to each petitioner, before he or she affixed his or her signature, the nature and legal effect of such petition for a grand jury. .sx / / /...................../ SUBSCRIBED in my presence and sworn to before me this .... day of ....... 19.... . .tb 10 39 .sx / / /...................../ \ Notary Public My Commission expires the .... day of ....... 19.... . Not more than twenty signatures shall appear on any one page of the petition, and petitioners shall file as many petitions as are necessary to meet the requirements of law. The circulator of each such petition shall subscribe to each petition in the form provided by this section.