 
| gm. Nowe Skalmierzyce, Precinct no. 5 | 
| Vote on 21-11-2010 | |
| Office | Burmistrz Gminy i Miasta Nowe Skalmierzyce | 
| Precinct | Precinct no. 5 | 
| Electoral Commission Regional Headquarters | Zespół Szkół Ociąż, ul. Szkolna 56, Fabianów | 
| Number of electors | 1 026 | 
| Number of dispensed ballot cards | 386 | 
| Number of valid ballot cards | 386 | 
| Number of votes valid | 371 | 
| Number of votes invalid | 15 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 21-11-2010 23:16 | 
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Budzik Bożena | 53 | wyższe | Trkusów, submitted by KOMITET WYBORCZY WYBORCÓW NIEZALEŻNE FORUM SAMORZĄDOWE, not a member of any political party | 225 | 60,65% | |
| 2 | Witczak Agnieszka | 38 | wyższe | Nowe Skalmierzyce, submitted by KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 146 | 39,35% | |