 
| gm. Zakliczyn, Precinct no. 3, Constituency no. 14 | |
| Council name | Rada Miejska w Zakliczynie | 
| Constituency | Constituency no. 14 | 
| Precinct | Precinct no. 3 | 
| Electoral Commission Regional Headquarters | Zespół Szkolno Przedszkolny, Paleśnica 115 | 
| Number of electors | 691 | 
| Number of dispensed ballot cards | 257 | 
| Number of valid ballot cards | 257 | 
| Number of votes valid | 252 | 
| Number of votes invalid | 5 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 21-11-2010 23:44 | 
| List no. 5 - KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Moj Anna Maria | 219 | 86,90% | |
| List no. 21 - KOMITET WYBORCZY WYBORCÓW ZGODA ZAKLICZYN | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Krzyżak Kazimierz Michał | 33 | 13,10% | |