Page 1 of 2

Address for correspondence
Divisional Returning Officer for
GOLDSTEIN
PO BOX 184
BRIGHTON VIC 3186
      Australian Electoral Commission.   AEC


Division of GOLDSTEIN
SUITE 6
8 ST ANDREWS ST
BRIGHTON VIC 3186

Telephone 03 9593 1072

V0111-0122

JOHN DOE CITIZEN
10 SEATTLE ST
BRIGHTON VIC 3186


REMINDER &
FINAL NOTICE

Apparent
Failure to Vote
Commonwealth Electoral Act 1918
Penalty Notice under section 245

Dear Elector

I wrote to you on 20 May 1996 advising you that according to my records it appears that you did not vote at the Federal Election held on Saturday 2 March 1996.

In order to resolve this matter would you please complete the form on the back of this notice and return it to me by 14 August 1996. If the elector to whom this letter is addressed is absent or incapacitated this form may be completed by another person acting on his or her behalf.

Please complete all 3 sections. When answering section 2 complete only one of the following parts:

I wish to advise you that it is an offence to fail to vote at an election without a valid and sufficient reason, and the penalty for failing to vote is $20 if paid to the Australian Electoral Commission, or a maximum of $50 (plus any court costs) if the matter is dealt with by the Court.

IF YOU DO NOT RESPOND TO THIS NOTICE BY THE DUE DATE I AM OBLIGED TO HAVE THE MATTER DEALT WITH BY A COURT.

Thank you for your co-operation.


Your Divisional Returning Officer
15 July 1996.

EF043(b) 3/93


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Your enrolment as at Polling Day was:

V0111-0122
JOHN DOE CITIZEN
10 SEATTLE ST, BRIGHTON VIC 3186

Please complete sections 1, 2 and 3 and return in the envelope provided. PLEASE PRINT

Section
1.
Name of elector Daytime phone contact
(       )
Current residential address

When answering section 2 complete either Part A, Part B or Part C.

Section
2.
A. If you DID vote complete this part.
EITHER  Write the name of the polling place at which you voted:_ _ _ _ _ _ _ _ _

OR  Tick the box if you voted by post.     [    ]

OR
B. If you DID NOT vote and believe you have a valid and sufficient reason complete this part (I will advise you if your reason is not acceptable.)
I did not vote because _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
OR
C. If you DID NOT vote and wish to pay the penalty of $20 and finalise the matter complete this part.
Method of payment:

[    ] Cash (Counter Payments ONLY)

[    ] Cheque or money order (made payable to 'Collector of Public Monies')

Note: Payment of the $20 penalty fully discharges any liability in relation to your apparent failure to vote. No further proceedings can be taken against you and you will not be regarded as having been convicted of an offence. However, if for any reason your cheque is not honoured by your bank it will be deemed that payment of the penalty has not been made.

Section
3.
Signature of elector or person acting on his or her behalf.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  Date:    /    /    

If this form is completed by another person acting on behalf of the elector please print your name below your signature.

Return Address

Divisional Returning Officer
Division of GOLDSTEIN
PO BOX 184
BRIGHTON VIC 3186
Please fold this form where indicated and place in the single window Reply-Paid envelope provided. Ensure that the return address at left appears in the window.

EF043(r) 3/93