704                             LAWS OF MARYLAND                    [CH. 245

(2)    That the person is a qualified voter at the residence address
given;

(3)    If the person voted at the preceding election, the residence
address from which he voted; and

(4)    That the voter expects in good faith to be unable to vote in
person for any of the reasons set out in Section 27-1 of this article.

27-5.

(b) (1) The application for an absentee voter who is absent from
the State of Maryland or who is unable to vote in person because of
physical disability as defined in Section 27-2 of this article, either of
whom is entitled to be registered pursuant to Section 3-7 of this
article, shall be in the following form:

(Date)

Board of Supervisors of Elections of........................................ (County

or Baltimore City)

I, .................................... hereby apply for a Maryland (or

(Print Name)
Baltimore City) Absentee Ballot for the Election to be held

on.........................................

(Date of Election)

My home address is............................................, in the city, town or

(No. and Street or RFD)

village of........................................in the County of................................,

Maryland

I am now registered as........................................; or

(Party or Decline)

I am not now registered and I will be 21 years old or older

on........................................, and

(Date of Election)

I wish to be registered as.........................................

(Party or Decline)

I desire that the ballot be sent to me at the following address:

(sign name)

(Military rank or other status if
any, or the spouse of)

(Military Rank or other status)

[Subscribed and sworn to (or affirmed) before me this................day

of ...................., 19.........