| gm. Zagórów, Precinct no. 3, Constituency no. 4 | |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Budynek OSP, Kopojno 32, 62-410 Zagórów |
| Number of electors | 439 |
| Number of dispensed ballot cards | 219 |
| Number of valid ballot cards | 219 |
| Number of votes valid | 210 |
| Number of votes invalid | 9 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 08-07-2012 22:58 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW PIOTRA SZMYTA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Szmyt Piotr | 54 | 25,71% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW WOJCIECHA GŁOWACKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Głowacki Wojciech | 32 | 15,24% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW TOMASZA NIEMIERA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Niemier Tomasz | 124 | 59,05% | |