 
| gm. Bełżec, Precinct no. 4, Constituency no. 3 | |
| Council name | Rada Powiatu w Tomaszowie Lubelskim | 
| Constituency | Constituency no. 3 | 
| Precinct | Precinct no. 4 | 
| Electoral Commission Regional Headquarters | Remizo - Świetlica, Brzeziny | 
| Number of electors | 258 | 
| Number of dispensed ballot cards | 174 | 
| Number of valid ballot cards | 174 | 
| Number of votes valid | 162 | 
| Number of votes invalid | 12 | 
| Number of dispensed ballot cards for plenipotentiaries | 1 | 
| Protocol date | 21-11-2010 23:29 | 
| List no. 1 - KOMITET WYBORCZY SOJUSZ LEWICY DEMOKRATYCZNEJ | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Krzych Piotr Jan | 2 | 1,23% | 100,00% | |
| 2 | Szopa Marian | 0 | 0,00% | 0,00% | |
| 3 | Jasiński Sławomir | 0 | 0,00% | 0,00% | |
| 4 | Przednowek Janusz Michał | 0 | 0,00% | 0,00% | |
| 5 | Padiasek Kazimierz Stanisław | 0 | 0,00% | 0,00% | |
| Totalling | 2 | 1,23% | |||
| List no. 2 - KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Dawidowski Jan Mieczysław | 9 | 5,56% | 64,29% | |
| 2 | Wojtas Roman | 2 | 1,23% | 14,29% | |
| 3 | Winiarczyk Jolanta Józefa | 0 | 0,00% | 0,00% | |
| 4 | Zawiślak Jerzy | 2 | 1,23% | 14,29% | |
| 5 | Putkowska Wiesława | 1 | 0,62% | 7,14% | |
| 6 | Frykowski Józef Andrzej | 0 | 0,00% | 0,00% | |
| Totalling | 14 | 8,64% | |||
| List no. 4 - KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Kuc Stanisław Jan | 1 | 0,62% | 33,33% | |
| 2 | Leszczyński Tomasz | 1 | 0,62% | 33,33% | |
| 3 | Wysocki Witold Stanisław | 0 | 0,00% | 0,00% | |
| 4 | Braunberger Aleksandra | 0 | 0,00% | 0,00% | |
| 5 | Żuk Jarosław | 1 | 0,62% | 33,33% | |
| 6 | Hałas Robert | 0 | 0,00% | 0,00% | |
| Totalling | 3 | 1,85% | |||
| List no. 5 - KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Czop Dariusz | 2 | 1,23% | 1,52% | |
| 2 | Szczepańska Magdalena Anna | 125 | 77,16% | 94,70% | |
| 3 | Mamczur Zdzisława Urszula | 0 | 0,00% | 0,00% | |
| 4 | Woszczak Zofia Elżbieta | 4 | 2,47% | 3,03% | |
| 5 | Czok Sławomir Leszek | 0 | 0,00% | 0,00% | |
| 6 | Liwosz Leszek Marian | 1 | 0,62% | 0,76% | |
| Totalling | 132 | 81,48% | |||
| List no. 17 - KOMITET WYBORCZY LIGA POLSKICH RODZIN | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Szepelak Krzysztof | 0 | 0,00% | 0,00% | |
| 2 | Trąd Anna Maria | 0 | 0,00% | 0,00% | |
| 3 | Chwała Mirosław Rafał | 0 | 0,00% | 0,00% | |
| 4 | Ciećko Urszula Joanna | 0 | 0,00% | 0,00% | |
| 5 | Matwiejczuk Elżbieta Celina | 0 | 0,00% | 0,00% | |
| 6 | Malicki Jerzy | 4 | 2,47% | 100,00% | |
| Totalling | 4 | 2,47% | |||
| List no. 18 - KOMITET WYBORCZY NASZ DOM POLSKA - SAMOOBRONA ANDRZEJA LEPPERA | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Olejnik Małgorzata Ewa | 0 | 0,00% | 0,00% | |
| 2 | Karwański Henryk Krzysztof | 0 | 0,00% | 0,00% | |
| 3 | Michno Bogdan Krzysztof | 0 | 0,00% | 0,00% | |
| Totalling | 0 | 0,00% | |||
| List no. 19 - KOMITET WYBORCZY WYBORCÓW "SAMORZĄDOWCY" | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Cisło Stanisław | 2 | 1,23% | 28,57% | |
| 2 | Kopczan Alicja | 5 | 3,09% | 71,43% | |
| 3 | Prus Edward Józef | 0 | 0,00% | 0,00% | |
| 4 | Trzeciak Dariusz | 0 | 0,00% | 0,00% | |
| 5 | Bożyk Wanda | 0 | 0,00% | 0,00% | |
| 6 | Kmiecik Kazimierz | 0 | 0,00% | 0,00% | |
| Totalling | 7 | 4,32% | |||