APPLICATION FOR ABSENT ELECTOR’S BALLOT

State of Idaho                )

                                    )   ss

County of Boundary        )                                               Date: _______________________, _______

I, ____________________________, hereby make application for an absent elector’s ballot or ballots to be voted at the election held on:

      (Check election this application is to be used)    ( )      1^st Tuesday in February

                                                                        ( )      4th Tuesday in May / Primary Election

                                                                        ( )      1st Tuesday in August

                                                                        ( )      Tuesday following 1^st Monday in November / General Election

                                                                        ( )      Special Emergency Election to be held on:

                                                                                  ____________________, _____

                                                                                  (Date)                            (Year)

My home address is: ______________________________________

                                         (House Number and Street)

                                ______________________________________

                               (City)

and I am duly registered in _______________________________________________ election precinct,

                                                                   (Precinct Name or Number)

Boundary County, Idaho.

                                                               Please mail ballot(s) to me at the following address:

                                                               _________________________________________________________

                                                                                                                                (Elector)

                                                               _________________________________________________________

                                                                                                (Mailing Address)

                                                               _________________________________________________________

                                                                                                    (City, State and Zip Code)

                                                                                    ELECTOR MUST PERSONALLY SIGN APPLICATION

                                Signed: ________________________________________________________

Please return completed and signed applications to the Clerk’s Office in the Boundary County Courthouse

or mail completed, signed applications to: Boundary County Auditor, P.O. Box 419, Bonners Ferry, ID  83805