State of Idaho

County of Boundary

APPLICATION FOR ABSENT ELECTOR'S BALLOT

Date:  ________________________

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

___ 1st Tuesday in February

___ 4th Tuesday in May (Primary Election)

___ 1st Tuesday in August

___ Tuesday following first Monday in November (General Election)

___ Special Emergency Election to be held on _____________________

My home address is: ________________________________________

                                    ________________________________________

                                    ________________________________________

I am duly registered to vote in the _______________________________ election precinct in Boundary County, Idaho.

Please mail ballot(s) to the following address:   ________________________________________

                                                                               ________________________________________

                                                                               ________________________________________

_{__________________________________________________________________________}

                                                                                                                              _{Signature of Elector}

  _{Completed application can be turned in at the Clerk of Courts Office in the Boundary County Courthouse or mail to County Elections Department, P.O. Box 419, Bonners Ferry, ID 83805}