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County Forms.

No. 7.

FORM OF CLAIM TO VOTE AT SOME POLLING PLACE OTHER THAN THAT

OF THE DISTRICT IN WHICH THE VOTER'S QUALIFICATION IS SITUATE.

Division, } t

18

(Residing in the County.) County of

to wit.

Parish Cor Township] of A.B., whose Name appears in the List of Voters of the above Parish (or Township), claim to vote at in the said County, the Polling Place in the District wherein my Place of Abode as stated in the said List, is situate.

(Signed) A.B. (Place of Abode]

No. 8.

Division, } to wit.

18

(Residing out of the County.) County of

to

Parish Cor Township] of I, 4.B., whose Name appears in the List of Voters for the above Parish [or Township), and whose Place of Abode, as stated in the said List, is not within the said County, claim to vote at the Polling place in the said County.

(Signed) A.B. [Place of Abode.]

No. 8a. [28 Victoria, cap. 36.]

FORM OF DECLARATION BY VOTER AS TO HIS PLACE OF ABODE.

I, A.B. of [Place of Abode), on the List of Voters for the Parish [or Township) of in the County Cor Riding or Division of the County) of

do solemnly and sincerely declare, That I possessed on the last Day of July now last past the same Qualification in respect of which my Name has been inserted in such List, and that my true Place of Abode is now

(Signed) A.B. (Place of Abode.] Made and subscribed before me (C.D. (Signature of Justice, &c. the

Day) [Statement of his Quality as Justice of

in the

&c.] Year

Schedule B.

CITY AND BOROUGH FORMS.

No. 1.

NOTICE TO BE GIVEN BY THE OVERSEERS.

City[or Borough]) We hereby give Notice, That no Person will be

of in the entitled to have his Name inserted in any List of County of Voters for this City for Borough), now about to be to wit.

made, in respect of the Occupation of Premises of the clear yearly value of ten pounds, whether situate wholly or in part within this Parish [or Township), unless he shall pay, on or before the twentieth day of July, all the Poor's Rates and Assessed Taxes which have become due from him in respect of such premises previously to the 6th of January last past; and all persons who omit to make such pay. ments will be incapable of being upon the next Register of Voters for City or Borough. "Dated this day of June in the year One thousand eight hundred

(Signed) A.B.

Overseers of the Parish
C.D.
E.F.

(or Township) of

{

No. 2

The List of PERSONS entitled to vote in the Election of a Member [or

Members] for the City (or Borough] of in respect of Property occupied within the Parish (or Township) of by virtue of an Act passed in the Second Year of the Reign of King William the Fourth, intituled “ An Act to amend the Representation of the People “ in England and Wales."

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City and Borough Forms.

No. 3.

The List of all PERSONS (not being Freemen) entitled to vote in the Election of a Member [or Members] for the City Cor Borough] of

in respect of any Rights other than those conferred by an Act passed in the Second Year of the Reign of King William the Fourth, intituled “ An Act to amend the Representation of the People in Eng"land and Wales.”

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LIST OF FREEMEN TO BE PUBLISHEDI BY THE TOWN CLERK.

[or of

The List of FREEMEN of the City (or Borough] of being a Place sharing in the

Election with the City Cor Borough] of entitled to vote in the Election of a Member Cor Members] for the said City (or Borough].

Christian Name and Surname of each

Freeman at full length.

Place of his Abode.

City and Borough Forms.

No. 5.

NOTICE OF CLAIM.

To the Overseers of the Parish Cor Township] of I hereby give you Notice, That I claim to have my Name inserted in the List made by you of Persons entitled to vote in the Election of a Member [or Members) for the City Cor Borough] of and that the Particulars of my Qualification and Place of Abode are stated in the Columns below. Dated the

Day of

One thousand eight hundred

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LIST OF CLAIMANTS, TO BE PUBLISHED BY THE OVERSEERS. The following Persons claim to have their Names inserted in the List of

Persons entitled to vote in the Election of a Member (or Members] for the City (or Borough] of

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City and Borough Forms.

No. 7. LIST OF CLAIMANTS TO BE PUBLISHED BY THE TOWN CLERK. The following Persons claim to have their Names inserted in the List of the Freemen of the City (or Borough] of

], being a Place sharing in the Election with the City Cor Borough) of entitled to vote in the Election of a Member (or Members) for the said City (or Borough).

[or of

Christian Name and Surname of each

Person, as in the Claim.

Place of his Abode.

NO.-8.

NOTICE OF OBJECTION.

To the Overseers of the Parish (or Township) of

[or to the Town Clerk of the City for Borought] of or otherwise, as the

case may be. I hereby give you Notice, That I object to the Name of being retained in the List of Persons entitled to vote in the Election of a Member (or Members] for the City Cor Borough] of

Dated this

Day of
(Signed) A.B.

[Place of Abode], on the List of

Voters for the Parish of
Note-If more than one List of Voters, the Notice of Objection

should specify the List to which the Objection refers; and
if the List contains two or more Persons of the same Name,
the Notice should distinguish the Person intended to be
objected to.

{of

.

No. 9.

FORM OF NOTICE OF OBJECTION TO BE GIVEN TO PARTIES

OBJECTED TO.
To Mr.

I hereby give you Notice, That I object to your Name being retained on the List of Persons entitled to vote in the Election of Members [or a Member) for the City (or Borough] of

Dated this (Signed) A.B. {of polece for Abede, on the List of

Voters the Parish of

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