Signatures.

Residence, town or city, street and
street number, if any.*

NOTE.-It is unnecessary of the signers to sign any afdavit. The making of the oath is to be proved by the officers before whom the oath is taken. The signatures need not all be appended to one paper. See last paragraph of Election Law, § 123, as to names of persons signing which will be counted.

Certificate of Notary or Other Officer Before Whom Oath is Taken to be Annexed to the Certificate of Nomination.

On the....day of........in the year...., before me personally came (here shall be inserted the names of each and every voter appearing and making oath before the said officer), each of whom was to me personally known and known by me t be the voter whose name and place of residence is subscribed by him to the foregoing certificate and each of the foregoing voters being by me duly and severally sworn 'did make oath that he is a voter and has truly stated his residence, and that it is his intention to support at the polls the candidacy of the person or persons nominated for public office in the foregoing certificate of nomination. (Signature and official title.)

FORM No. 86.

(Election Law, § 130.)

List of Nominations to be Published by Board of Elections.

To the Voters of (........ county):

The following is a true and correct list of all nominations of candidates for offices to be filled at the........election to be held...... 19., certified to us or filed in our office pursuant to the provisions of the Election Law:

N. B. For New York city, see Election Law, § 130.

O Certificates of nominations for officers to be voted for by all the electors of this State should contain the names of the county in addition to place of residence.

If in any city, the street number of residence, and place of business.

FORM No. 37.

(Election Law, § 131.)

Printed List to be Sent by Board of Elections to Each Town Clerk or Alderman in County or City.

(Same to be posted by town clerk or alderman in election districts.) To the (Town Clerk or Alderman) of (Town of

........

or

Ward

Please take notice that the following named persons whose certificates of nomination have been filed with us, or certified to us, as candidates for office, are to be voted for at the election to be held on the....day of....... 19...

List of Nominations to be Posted by Town or Village Clerk at Other than Time of General Election.

To the Voters of (town or village of

):

The following is a true and correct list of all nominations of candidates for offices to be filled at the election to be held

with me pursuant to the provisions of the Election Law:

19., filed

* If in a city, the street number of residence and place of business.

FORM No. 39.

(Election Law, § 133.)

Declination of Nomination by Person Nominated Otherwise Than by Of. ficial Primary Election.

To the Secretary of State (or other officer or board):

Sir-Please take notice that I decline the nomination for the office of tendered to me by the (convention, primary or voters) of the .party, filed in your office.

On this....day of...... 19., before me personally came........ to me known to be the person described in, and who executed the foregoing declination, and he acknowledged to me that he executed the same for the purposes therein mentioned.

(Officer taking acknowledgment.)

FORM No. 40.

(Election Law, §§ 135, 136.)

Filling Vacancies in Nominations by Duly Anthorized Committees where Vacancy Occurs in Nomination Made Otherwise Than by Official Primary Election.

To the (insert officer with whom original certificate of nomination is filed) : Whereas,

(Here set forth cause of vacancy or nature of defect of certificate of nomination.) Now, therefore, I (or we) the duly authorized committee for the purposes specified in section one hundred and thirty-five of the election law, pursuant to the provisions of said section, do hereby certify that I (or we) have nominated the following named person (or persons) to fill the vacancy (or vacancies) caused by

(Signers should state residence, city or town, street and number, if any.)

Acknowledgment and Affidavit to be Annexed to Certificate. STATE OF NEW YORK,}

On the day and date below mentioned before me personally appeared to me known and known to me to be the persons described in and who executed the foregoing certificate, and who severally acknowledged the execution thereof for the purposes therein set forth, and each of said persons being by me severally duly sworn depose and say that the matters therein stated are true to the best of his information and belief.

Certificate of Board of Elections where Death of Candidate After Printing of Ballots Requires Use of Pasters.

We, the undersigned, the members of the Board of Elections of the County do hereby certify that on the day of

day of

of 19.., after the official ballots had been printed for the general election to be held on the 19., a new certificate of nomination to fill a vacancy in nomination for the office of .... by the death of the duly nominated candidate of the party for such office, was received by us from the secretary of state (or was filed in our office.)

caused

We further certify that we have prepared and we are delivering to you herewith, pursuant to section one hundred and thirty-seven of the Election Law, adhesive pasters containing the name of the candidate nominated to fill the vacancy and the title of the office for which he was nominated. We further certify as follows:

1. That the name of the original candidate is

2. That the name of the new nominee is ..

......

3. That the title of the office for which the nomination is made is

4. That the name of the political party (or independent body) making the nomination is

5. That the number of pasters furnished herewith is Witness our names and official seal, at

State of New York,

Members of Board of Elections.

FORM No. 42.

(Election Law, § 155.)

For form of register outside of city of over one million inhabitants, see Election Law, § 155.

FORM No. 42a.
(Election Law, § 156.)

For form of register in city of over one million inhabitants, see Election Law, § 156.

being duly sworn, says:

years old and a student at
city and county of

2. I reside at No. I intend to reside there or elsewhere in county, and to make my domicile there indefinitely, and I have no present intention of residing else. where. My business or occupation is

located at No.

but I have

no present intention to reside there again, and have notified in writing the board of inspectors and registration of district that I have changed my residence to the county of and that my name

should no longer remain on the list of registered voters in said district.

For form of oath to be administered to literate or disabled voters, see Election Law, § 164.

FORM No. 46.

(Election Law, § 168.)

For form of challenge affidavits, see Election Law, § 168.

FORM No. 47.

(Election Law, § 169.)

For form of oath to be administered to applicant for registration who has been challenged, see Election Law, § 169.