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.

(Residing in the County.)

187 County of

Division, }

to wit.

Parish [or Township] of

A.B., whose Name appears in the List of Voters of the above Farish Lor 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.

I, A.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 at in the said County.

(Signed)

A.B. [Place of Abode].

No. 8a. [28 Victoriæ, 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 [or Riding or Division of the

County] of

do solemnly and sincerely declare, That 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

Made and subscribed before me (C.D. [Signature of Justice, &c.

City [or Borough]) of in the County of

to wit.

WE hereby give Notice, That no Person will be entitled to have his Name inserted in any List of Voters for this City [or Borough], now about to be 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 5th of January last past; and all persons who omit to make such payments 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

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

by virtue of an

occupied within the Parish [or Township] of 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."

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 [or 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."

LIST OF FREEMEN TO BE PUBLISHED BY THE TOWN CLERK.

The LIST of FREEMEN of the City [or Borough] of

of

[or of being a Place sharing in the Election with the City [or Borough] entitled to vote in the Election of a Member [or 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 [or 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 [or Borough] of

and that the Particulars of my Qualification and Place of Abode are stated in the

Columus below.

Dated the

Day of

One thousand eight

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

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

[or of

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

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
Town Clerk of the City [or Borough] of

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 [or Borough of

this

Day of

(Signed)

A.B.

Dated

(of [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.

No. 9.

FORM OF NOTICE OF OBJECTION TO BE GIVEN TO PARTIES OBJECTED

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

(Signed)

Dated this

A.B. {of [Place of Abode], on the List of

Voters for the Parish of