LE42E - DECLARATION AS TO ELECTION EXPENSES

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					LOCAL ELECTION                                                                                 LE 42E


                     DECLARATION AS TO ELECTION EXPENSES

        DECLARATION AS TO EXPENSES REQUIRED BY SECTION FORTY-ONE
       OF THE ELECTORAL LAW ACT (NORTHERN IRELAND) 1962, AS AMENDED

                           TO BE AUTHORISED BY AN ELECTION AGENT.




 Election in the                                                                         District Electoral Area




 Date of Publication of Notice of Election

 Name of Candidate

 Name of Election Agent



 I hereby declare that –

 1. I am the person (or a director, general manager, secretary or other like officer of the association or body
    of persons) named as incurring expenses in the accompanying return, marked                                  ,
    of expenses required by section forty-one of the Electoral Law Act (Northern Ireland) 1962, as
    amended, to be authorised by an election agent.

 2. To the best of my knowledge and belief the said return is complete and correct.

 3. The matters for which the expenses referred to in the said return were incurred were as follows




                             Signature of declarant
                             Office held by declarant
                                                            (in the case of an association or body of persons)

       Date




          2/05

				
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