THE FORMS REFERRED TO IN THE FOREGOING ORDER. FORM A 1.-Statement of Claim to Vote for Guardians of the Poor, in respect of Rateable Property in actual *This Form is adapted to the case of an Occupier claiming to Vote as Owner of the Property which he occupies, or in respect of excess of the Net Annual -.] This clause is only to be used in the case of Corporations or Joint Stock Companies, who are to name the Officer who is to vote. FORM A 2.-Statement of Claim to Vote in Person, for Guardians of the Poor, by a Landlord entitled to Rents exceeding the Rents payable, or by an Owner of Tithe Rent-charges. Union. of (c) (d) Union. [ Ward.*] claim to vote in the Election of Guardians, according to the provisions of the Acts in the Destitute Poor in Ireland, being entitled thereto in respect of the Property hereinafter described, which is situate Electoral Division of the (a) Union, that is to say : Situation of Property (ƒ). Names of Tenants Nature Barony. Parish. Townland. Street or Roadway, if in or Occupiers (if any), Description of the Rate-Value accord- Net Annual payer's ing to the Valuation. Rent Rent therein. Annual The place in the above Electoral Division, at which a Voting Paper may be left and called for, is the house (h) 18-. Signed in the presence of (Signature). Justice of the Peace. † Board of Guardians, or the Returning Officer. (a) Name of Union. (b) Name of Landlord or Owner of Tithe Rent-charges, if an Individual; or of Corporations or Joint Stock Companies, who are to name the Officer who is to vote. is FORMS B 1 and 2. FORM B 1.-Appointment of Proxy to vote in respect of Property not in Landlord's actual Occupation, or in respect of Tithe Rent-charges. of to I, of being a landlord entitled to appoint a proxy, in respect of the property hereinafter described, the same not being in my occupation, and being situate within the Electoral Division of the Union (a), do hereby appoint vote as my proxy in the Election of Guardians, until the present appointment shall be revoked, in all cases wherein he may lawfully do so, under the provisions of the Acts in force for the Relief of the Destitute Poor in Ireland, and the property in respect of which I appoint to vote as my proxy, is as follows, viz.: the said If the Electoral Division be subdivided into Wards, it will be necessary to make a distinct statement for each Ward in which the property in respect of which the claim is made is situate, in each case naming the Ward in the paper; and the Returning Officer will issue a voting paper for each Ward. Where the same landlord is entitled to appoint a proxy in respect of property situate in different Electoral Divisions or Wards, a separate appointment and application must be made for each of such Divisions or Wards; the same person may be appointed for all of such Divisions or Wards; but a place should be named within each Division or Ward, at which a voting paper may be left, according to the direction (e). + Board of Guardians, or, the Returning Officer. (a) Or, the Ward of the Electoral Division of Union. (b) When the Property is situate in a City, Town, or its Suburbs, having Streets and other Roadways, the name of the Street or Roadway, and the number of the House or Tenement, if any, and the Parish in which the Property is situate, are required to be stated; and in other places the Barony, Parish, and Townland. (c) House, Farm, or Warehouse, &c., as the case may be, or Tithe Rent-charge. FORM B 2.-Application of Proxy thereupon. I, —of To the‡ having been appointed by of the of Union. to Vote in the Election of Guardians as his Proxy, Electoral Division of hereby transmit to you such my appointment, is entitled to Vote, and in respect of which I do hereby claim to (d) Or, the Ward of the ·Electoral Division of Board of Guardians, or, the Returning Officer. Union. (e) Give the name of the House, if not in a Town; in all other cases the name of the Street, and the Number of the House, or some certain reference to it. The House must be in the Division or Ward for which the claim to Vote is made. FORM C 1.-Statement of Claim to vote in Person, for Guardians of the Poor, by an Owner or Immediate Lessor of Property not in the actual occupation of such Owner, but for which he is Rated, under the c. 104, sec. 10. provisions of the Acts 6 & 7 Vic. c. 92, secs. 1 and 4; 12 & 13 Vic. c. 91, sec. 63; or 12 & 13 Vic. (b)‡ I, Union. of (c) (d) To the† Electoral Division. of the (a) Union. [ Ward.*] claim to vote in the Election of Guardians, according to the provisions of the Acts in within the Electoral Division of the (a) force for Relief of the Destitute Poor in Ireland, being entitled thereto in respect of the Property hereinafter described, which is situate Union, that is to say: Barony. Situation of Property (ƒ). Parish. Street or Roadway, if in Given this The place in the above Electoral Division, at which a Voting Paper may be left and called for, is the house (h) day of 18-. Signed in the presence of (Signature). (Signature), Justice of the Peace. *If the Electoral Division be subdivided into Wards, it will be necessary to make a distinct statement for each Ward in which the Property, in respect each Ward. of which the claim is made, is situate; in each case naming the Ward at the head of the paper; and the Returning Officer will issue a Voting Paper for Board of Guardians, or, the Returning Officer. of Corporation or Joint Stock Company: Or, The (b) Company claims. (a) Name of Union. (b) Name of Landlord, or Owner of Tithe Rent-charges, if an Individual; or title (c) Place of Abode, if an Individual. (d) Title, Profession, Trade, or Employment, if an Individual. (e) Name of Electoral Division, and of Ward, when divided into Wards. (f) When the Property is situate in a City, Town, or its Suburbs, having Streets and other Roadways, the Name of the Street or Roadway, and the Number of the House or Tenement, if any, and the Parish in which the Property is situate, are required to be stated; and in other places the Barony, Parish, and Townland. (g) House, Farm, or Warehouse, &c., as the case may be. (h) Give the name of the House, if not in a Town; in all other cases the name of the Street, and the Number of by the said (b) to vote on behalf of the said (b) is the House, or some certain reference to it. The House must be in the Division or Ward for which the claim to vote is made. (i) [And the Officer directed companies, who are to name the Officer who is to Vote. --.] This clause is only to be used in the case of Corporations or Joint Stock |