Commonwealth of Virginia County of Fluvanna Ballotstyle: 2 SAMPLE BALLOT General and Special Elections Voting Instructions: Tuesday, November 4, 2014 1. Use a blue or black ink pen. 2. Completely fill in the red box to the right of your selected candidate like this . 3. For a write-in, write the name on the line provided and fill in the red box to the right of the name. 4. If you make a mistake, please ask for a new ballot. Member United States Senate Proposed Constitutional Amendment (Vote for only one) Ed W. Gillespie - R Mark R. Warner - D Robert C. Sarvis - L WRITE IN Member House of Representatives 5th District (Vote for only one) Question: Shall Section 6-A of Article X (Taxation and Finance) of the Constitution of Virginia be amended to allow the General Assembly to exempt from taxation the real property of the surviving spouse of any member of the armed forces of the United States who was killed in action, where the surviving spouse occupies the real property as his or her principal place of residence and has not remarried? Yes No Robert Hurt - R W. Lawrence Gaughan - D Paul F. Jones - L Kenneth J. Hildebrandt - IG Sheriff For unexpired term to end December 31, 2015 (Vote for only one) WRITE IN Mark A. Belew Eric B. Hess WRITE IN Authorized by Electoral Board of the County of Fluvanna P.O. Box 44 Palmyra, VA 22963 Notice: The authority statement on this sample ballot must be removed and replaced with the appropriate authority statement for the candidate, committee, individual or group using this ballot for their own purposes. Any reproduction of this MAY NOT be printed on white or yellow paper. The authority statement used for this ballot must comply with the requirements of either federal or state law; as appropriate. For state requirements, see §24.2-622 and §24.2-956 of the Code of Virginia. For federal requirements call the Federal Election Commission,1-800-424-9530.