Ballot results for the candidate by precinct
| Candidate | Talarek Wiesława Henryka |
| Age | 45 |
| Address and endorsements | Potaszniki , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 5 |
| Number of votes for the candidate | 101 |
| % of valid votes for the candidate | 37.97% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Górzno
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 3 | Publiczna Szkoła Podstawowa w Górznie, Filia w Wólce Ostrożeńskiej | 101 |
37.97% 
|
231 |
43.72%
|