by of an Name d Surname at full Length. FORM NO. 5.-Claim of Lodger or Part Occupier. h] of } To the Overseers of the Parish [or Township] of be inserted in the List of Voters, in respect of the part Occupation of the underand the Particulars of my Qualification are stated in the Columns below: Profession, Place of Abode, Nature and Particulars of Qualifications Name of Landlord or other Person to whom Rent has. been paid during Twelve Months. Note (a). If the Claim be in respect of Lodgings, insert the Word "Furnished" or "Unfurnished Apartments." If in respect of Offices, Counting-house, Workshop, &c., insert such Description, in each Case specifying Number of House and Name of Street, &c. (if any), in which Apartments be situate. I the above-named do solemnly declare, That I have occupied, at a Rent amounting to not less than Eight Shillings a Week, the Portion of the House above described ever since the Twenty-fourth Day of June, and that during such Period I have bonâ fide paid Rent to the said in respect of such Occupation to the Amount of Twenty Pounds. Dated the Signature of Claimant Witness to the Signature of the said And I certify my Belief in the Accuracy of the above Claim. Name of Witness Residence and Calling Day of County of or FORM No. 6.-Claim in respect of Personal Property. } City [or Borough of To the Overseers of the Parish [or Township] of I hereby claim to be inserted in the List of Voters in respect of Personal Property, and the Particulars of my Place of Abode and Qualification are stated in the Columns below: Note (a). When the Claim is in respect of a yearly Income from personal property insert under this Ilead "Income from Personal Property," and the Description of the Annuity, Stock, &c., from which the Income is derived: when the Claim is in respect of the Claimant being a Depositor in a Savings' Bank, insert under this Head "Depositor in Savings' Bank," with the Name of the Savings' Bank in which he has the required Deposit. (b). Insert the Distinguishing Number of the annexed Certificate. I do solemnly declare, That I am the same Person as is described as of in the annexed Certificate, and that the Qualification therein mentioned belongs to me, for my own Use and Benefit; and that I have resided within the said for the space of Twelve Months next preceding the Twenty-fourth Day of June last; and that I have not claimed to be inserted on the List of Voters for any other Parish or Township in respect of the above Qualification. Dated the (Signed) Day of 185 This Claim must bear Date subsequent to the Twenty-fourth Day of June, and must be delivered to the Overseer, with the Certificate of Ownership annexed (Schedule A), prior to the Twenty-fourth Day of July. FORM NO. 7.-Claim in respect of a Pension, Superannuation, &c., or of an Educational Qualification. County of or City [or Borough] To the Overseers of the Parish [or Township] of I hereby claim to be inserted in the List of Voters, and the Particulars of my Place of Abode and Qualification are stated in the Columns below: (a) Where the Claim to vote is in respect of Pension, or other like Payment, insert under this Head the Nature of the Payment, and the Employment, or Office, or Service in respect of which the same is payable. Where the Claim is in respect of an Educational Qualification, insert the Particulars of such Qualification. I, the above-named do solemnly declare, That I am qualified as above described, and that I have resided within the said for the Space of Twelve Months next previous to the Twenty fourth Day of June last, and that I have not claimed to be inserted on the List of Voters for any other Parish [or Township] in respect of the above Qualification. Dated the Day of 18 FORM NO. 8.-Claim to Overseers to be inserted on the List of Voters, or on the Supplemental List of Voters when omitted from the previous List, County of or City [or Borough] of) To the Overseers of the Parish [or Township] of I hereby claim to have my name inserted in the List [or on the Supplemental List] of Voters for the County of [or Borough of] and the Particulars of my Qualification and Place of Abode are stated below: FORM No. 10. County of or City [or Borough] of) The Supplemental List of Voters. For the Parish [or Township] of -(to wit) of Persons claiming to vote, and as having been omitted from the "List of Voters" already published. FORM NO. 11.-Notice of Objections to be given to the Overseers. County of or City [or Borough of, To the Overseers of the Parish [or Township] of I object to the name of the Person mentioned and described below being retained in the "List of Voters" for your Parish [or Township], and the Grounds of my objections to him are (a) Christian Name and Surname of Voter, as in List or Register. Profession, Place of Abode Nature and Street, Lane, &c., as described in List of Voters. Note-(a) Here insert, either "that he has not a Qualification entitling him to be registered,', or "that his Qualification is," or "that his place of abode is not accurately described." FORM No. 12.-Notice of Objection to be given by the Overseers or other Objector to the Person objected to, or to the occupying Tenant of the qualifying Property, (a) Here insert the name and Place of Abode of the Person objected to, as described on the List, or in case of Notice to the Tenant of the qualifying Property, insert his Name and Place of Abode, as described in the List. (b) In the Notice to the Tenant, instead of the Words " your Name," insert the Name of the Person objected to. (c) Here insert, either " that he has (or you have) not a Qualification entitling him (or you) to be registered," or "that his (or your) Qualification," or "that his (or your) Place of Abode, is not accurately described," or Words to the like Effect. The following Persons have been objected to as not being entitled to have their Names retained in the List of Persons qualified to vote for the Parish [or Township] of |