ALBERT C. RITCHIE, GOVERNOR. 935

in writing for a removal certificate in substantially the fol-
lowing form, to wit:

APPLICATION FOR CERTIFICATE OF REMOVAL.

I,................... do solemnly swear or affirm that

I now reside at............... in the City of...........,

County of................ that 1 am the same person who

is entered by that name as a qualified voter on the registry
books of the............ precinct of the..............

ward or district of................. City or County; that

I have removed from the said last mentioned residence, and
I now reside in............ precinct of the........ ward

or district of the............ City or County; that I am

entitled to registration in the voting precinct to which I have
removed, and I, therefore, request that my name be erased
from the registry books of the........... precinct of the

......... ward or district, of the............... City or

County, and that a certificate of removal be mailed to me at
my present address which is stated above.

Signature of Voter.

State of Maryland, City or County of..........., to wit:

Before me the subscriber, a Notary Public or a Justice
of the Peace of the State of Maryland, in and for the.......

...... county or city, personally appeared...............,

the signer of the above application for a removal certificate,
who has been known to me for........ years, and made

oath in due form of law that the matters and facts set forth
in the said application for a removal certificate are true as
therein set forth.

Witness my hand and seal the day and date first above
written.

Notary Public or Justice of the Peace.

Upon receipt of every application f or a removal certificate
as above provided, it shall be the duty of the Board of Super-
visors of Elections, or a clerk designated by them, to mail to
the applicant at his then address as stated upon his applica-
tion within not less than ten days from the receipt of said
application, a certificate of removal in substantially the fol-
lowing form, to wit: