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FORM No. 13.

(Election Law, § 40.)

Certificate of Names and Addresses of Officers of Party Committees.

I,

of the

the duly elected secretary of the State committee party (or of the county committee of the party in and for the county of

...., or as

the case may be) do hereby certify that the members of said committee were

duly elected at a primary election held on the
19..., and that said committee duly met on the
19..., and organized thereupon by the election of

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day of
day of

who re

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as the chairman thereof,
as the treasurer thereof, and
as the secretary thereof.

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19...

resides at

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Secretary of Committee.

N. B. This certificate to be filed within three days with Secretary of State and Board of Elections of County.

I,

FORM No. 14.

(Election Law, § 40.)

Certification of Rules and Regulations.

Secretary of the State committee of the

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party in and for or as the case may be) do hereby certify that the foregoing is a true copy of the rules and regulations for the government of the party and the conduct of the official primaries (or as the case may be) 19...

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N. B.- Certified copy of rules to be prepared and filed by secretary with custodian of primary records within three days after adoption.

FORM No. 17.

(Election Law, § 48.)

For form of petition for designation of candidates for party nomination or

for election to party position, see Election Law, § 48.

Form No. 18.

(Election Law, § 50.)

Declination by Person Designated.

To the Secretary of State (or custodian of primary records):

Please take notice that I

tion by the

the party position of

committee of the said party

decline the designation as candidate for nominaparty for the office of

.) tendered to me by the

(or

(or by petition of duly enrolled voters of said

party), to be voted for at the official primary election to be held on the 19., certificate of which designation has been

day of

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.......

day of

19...

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. 19.

(Election Law, § 52.)

Certificate of Nomination, to Fill Vacancy, by Duly Authorized Committee. To the (insert officer with whom original certificate of nomination is filed): Whereas,

(here set forth cause of vacancy)

and

Now, therefore, we the duly authorized committee to fill vacancies, pursuant to the provisions of section fifty-two of the election law, do hereby certify that we have nominated the following named person to fill the vacancy caused by

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On the day and date below mentioned, before me personally appeared and to me known 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 did depose and say

that the matters therein stated are true to the best of their knowledge and belief.

(signature of committeemen signing certificate.) Acknowledged, subscribed and sworn to before me, this

day of

19...

(Officer taking acknowledgment and oath.)

FORM No. 20.

(Election Law, § 52.)

Certificate of Board of Elections Where Pasters are Provided for

Primary Elections.

We, the undersigned, the members of the Board of Elections of the county and custodians of primary records, in and for such

day of

day of

19..,

of
county, do hereby certify that on the
after the official primary ballots had been printed for the official primary
election to be held on the
19... a new certifi
cate of designation to fill a vacancy in designation for the office (or party
position) of
to be voted for by the enrolled voters of the
place of
was received by

party in the
us from the Secretary of State (or was filed in our office.)
We further certify that we have prepared and we are delivering to you
herewith, pursuant to section fifty-two of the election law, adhesive pasters
containing the name of the candidate designated to fill said vacancy with
directions for the proper use thereof.

We further certify as follows:

1. That the name of the person originally designated is

2. That the name of the person designated in the new certificate is

3. That the title of the office (or party position) for which the designation is made is

4. That the name of the political party to which the committee on vacancies making the designation belongs is the party.

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

State of New

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For form of official primary ballot, see Election Law, § 58.

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FORM No. 22.

(Election Law, § 70.)

Oath of Primary Election Officers.

STATE OF NEW YORK,

COUNTY OF ALBANY.

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I do solemnly swear that I will support the Constitution of the United States and the Constitution of the State of New York, and that I will faithfully discharge the duties of the office of (Inspector of Primary Election) according to the best of my ability.

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N. B.—To form a part of the return to custodians of primary records.

FORM No. 23.
(Election Law, §* 72.)

Preliminary Oath by Challenged Voter at Primary Election.

You do solemnly swear (or affirm) that you will answer truly such questions as shall be put to you touching upon your right to participate in this primary election.

N. B.—After making oath or affirmation, challenged voter must answer the questions prescribed by Election Law, § 72.

FORM No. 24.

(Election Law, § 75.)

Certificate of Chairman of General Committee as to Coming Primary Elections, Etc.

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I,

chairman of the general committee of the.... party of the county of..... ......., do hereby certify that the following is a true and correct list and statement showing the conventions with time and place for the holding thereof; also showing the committees and offices for which delegates, members or candidates (as the case may be), are to be elected at the official primary election to be held on the....day of........, 19.., and showing the number of delegates to conventions, and members of committees to be elected in each unit of representation.

(Here insert full list and statement.)

Witness my hand at the city (or village) of.....

this....

day of....

........

19...

Chairman of General Committee.

(To be delivered to custodian of primary records at least thirty-five days before each official primary day.)

FORM No. 25.

(Election Law, § 75.)

For form of notice of official primary to be prepared and published by the custodian of primary records, see requirements specified in Election Law, § 75.

FORM No. 26.

(Election Law, § 77.)

For forms for appointments to fill vacancies in board of primary election officers, see forms Nos. 32 and 40.

FORM No. 27.

(Election Law, §§ 78, 78-a.)

For form of primary election poll book, see requirements specified in Election Law, §§ 78, 78-a.

FORM No. 28.

(Election Law, § 79.)

For form of primary election tally sheet blanks, see requirements specified in Election Law, § 79.

FORM No. 29.

(Election Law, §§ 85, 87.)

Ballot Return Sheet.

(Make Return for Each Election District Separate. Not for Primary

District.)

To be prepared by the ballot clerks, and attached to the original statement of result made by the inspectors and to each copy, in compliance with section three hundred and fifty-four of the Election Law. 1. The number of full sets of primary ballots furnished to election district number... ...of

..of the... County of.

was.

2. The number of sets of primary ballots cancelled before delivery to voters by reason of one or more of the sets being found defective in printing or mutilated, all of which were destroyed by us, was....

3. The number of sets of primary ballots spoiled and returned by voters, all of which were destroyed by us, was.

4. The number of sets of primary ballots returned to the custodian of primary records or other officer, unused, was....

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