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make an act an illegal practice, and the Sched. II.
candidate and his election agent may be
relieved accordingly from the consequences
of having incurred such excess of expenses.

I

SECOND SCHEDULE.

PART I.

FORM OF DECLARATIONS AS TO EXPENSES.

Form for Candidate.

on the

, having been a candidate at the election for the county [or borough] of day of do hereby solemnly and sincerely declare that I have examined the return of election expenses [about to be] transmitted by my election agent [or if the candidate is his own election agent, "by me"] to the returning officer at the said election, a copy of which is now shown to me and marked and to the best of

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my knowledge and belief that return is correct;

And I further solemnly and sincerely declare that, except as appears from that return, I have not, and to the best of my knowledge and belief no person, nor any club, society, or association, has, on my behalf, made any payment, or given, promised, or offered any reward, office, employment, or valuable consideration, or incurred any liability on account of or in respect of the conduct or management of the said election;

And I further solemnly and sincerely declare that I have paid to my election agent [if the candidate is also his own election agent, leave out "to my election agent "] the sum of pounds and no more for the purpose of the said election, and that, except as specified in the said return, no money, security, or equivalent for money has to my knowledge or belief been paid, advanced, given, or deposited by anyone to or in the hands of my election agent [or if the candidate is his own election agent, "myself"] or any other person for the purpose of defraying any expenses incurred on my behalf on account of or

Sched. II. in respect of the conduct or management of the said election;

And I further solemnly and sincerely declare that I will not, except so far as I may be permitted by law, at any future time make or be party to the making or giving of, any payment, reward, office, employment, or valuable consideration for the purpose of defraying any such expenses as last mentioned, or provide or be party to the providing of any money, security, or equivalent for money for the purpose of defraying any such expenses. Signature of declarant

C.D.

Signed and declared by the above-named declarant on

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I,

being election agent to

candidate at the election for the county [or borough] of

on the

day of

do hereby solemnly and sincerely declare that I have examined the return of election expenses about to be transmitted by me to the returning officer at the said election, and now shown to me and marked

and to

the best of my knowledge and belief that return is correct:

And I hereby further solemnly and sincerely declare that, except as appears from that return, I have not and to the best of my knowledge and belief no other person, nor any club, society, or association has on behalf of the said candidate made any payment, or given, promised, or offered any reward, office, employment, or valuable consideration, or incurred any liability on account of or in respect of the conduct or management of the said election;

And I further solemnly and sincerely declare that I have received from the said candidate pounds and no more [or nothing] for the purpose of the said election, and that, except as specified in the said return sent by me, no money, security, or equivalent for money has been paid, advanced, given, or deposited by anyone to me or in my hands, or, to the best of my knowledge and belief, to or in the hands of any other person for the purpose of defraying any expenses incurred on behalf of

the said candidate on account of, or in respect of the Sched. II. conduct or management of the said election.

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Signed and declared by the above-named declarant on

the

day of

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FORM OF RETURN OF ELECTION EXPENSES.

I, A.B., being election agent to C.D., candidate at the election for the county [or borough] of

day of

on the , make the following return respecting election expenses of the said candidate. at the said election [or where the candidate has named himself as election agent, "I, C.D., candidate at the elec"tion for the county [or borough] of

66

day of

on the

, acting as my own. "election agent, make the following return respecting "my election expenses at the said election "].

Receipts.

Received of [the above-named candidate] [or where the candidate is his own election agent, £

"Paid by me"]

Received of J. K.

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[Here set out the name and description of every person, club, society, or association, whether the candidate or not, from whom any money, securities, or equivalent of money was received in respect of expenses incurred on account of or in connexion with or incidental to the above election, and the amount received from each person, club, society, or association separately.]

Expenditure.

£

Paid to E. F., the returning officer for the
said county [or borough] for his charges £
at the said election .

Personal expenses of the said C. D., paid by
himself [or if the candidate is his own £
election agent, "Paid by me as candidate"]

E

Sched. II.

do.

Do.
paid by me
[or if the candidate is his own election agent, £
add "acting as election agent"]
Received by me for my services as election
agent at the said election [or if the candi-
date is his own election agent, leave out this
item]

Paid to G. H. as sub-agent of the polling dis-
trict of

[The name and description of each sub-agent
and the sum paid to him must be set out
separately.]

Paid to

as polling agent

Paid to
Paid to
services

as clerk for

£

}

£

£

days' services £

as messenger for days' }

[The names and descriptions of every polling
agent, clerk, and messenger, and the sum
paid to each, must be set out separately either
in the account or in a separate list annexed
to and referred to in the account, thus,
"Paid to polling agent (or as the case may
be) as per annexed list, £
Paid to the following persons in respect of
goods supplied or work and labour done :
To P. Q. (printing)

To M. N. (advertising)
To R. S. (stationery)

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[The name and description of each person, and
the nature of the goods supplied, or the work
and labour done by each, must be set out
separately either in the account or in a
separate list annexed to and referred to in
the account.]

Paid for postage

Paid for telegrams

Paid for the hire of rooms as follows :
For holding public meetings

For committee rooms

[A room hired for a public meeting or for a committee room must be named or described so as to identify it; and the name and description of every person to whom any payment was made for each such room, together with the amount paid, must be set out separately either

448 48

484848

4848

4848

in the account or in a separate_list_annexed
to and referred to in the account.]
Paid for miscellaneous matters, namely-

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[The name and description of each person to whom any sum is paid, and the reason for which it was paid to him, must be set out separately either in the account or in a separate list annexed to and referred to in the account.] In addition to the above, I am aware, as election agent for C. D., [or if the candidate is his own election agent, leave out " as election agent for C. D."] of the following disputed and unpaid claims; namely,Disputed claims.

By T. U. for

[Here set out the name and description of each person whose claim is disputed, the amount of the claim, and the goods, work, or other matter on the ground of which the claim is based.]

Unpaid claims allowed by the High Court to be paid after the proper time or in respect of which application has been or is about to be made to the High Court.

By M. O. for.

[Here state the name and description of each person to whom any such claim is due, and the amount of the claim, and the goods, work, and labour or other matter on account of which the claim is due.]

£

£

£

Sched. II.

(Signed)

A. B.

PART II.

FORM OF DECLARATION AS TO EXPENSES.

Form for candidate where declared a candidate or nominated

I.

in his absence and taking no part in the election.

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having been nominated [or having been declared by others] in my absence [to be] a candidate at the election for the county or borough of

day of

held on the

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do hereby

E 2

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