I hereby appoint the following individual who is a homeowner in the _____________________with the power of substitution as proxy to cast my vote in my absence at the association meeting to be held on ___________ and any adjournments of said meeting. This proxy is valid for all matters to be voted upon unless revoked by me in writing prior to the meeting or by attendance the meeting in person. This proxy supersedes any prior proxies granted.

 

My Name:

__________________________________________________________________

My Address:

__________________________________________________________________

My Phone No:

__________________________________________________________________

Proxy Holder:

__________________________________________________________________

Their Address:

__________________________________________________________________

Date Granted:

__________________________________________________________________

Expiration Date of Proxy:

__________________________________________________________________

 

The proxy holder must deliver the proxy to the inspector of elections at the scheduled meeting when it commences in order to receive a ballot.

This proxy shall expire 90 days after it is granted unless otherwise specified above.