I, THE UNDERSIGNED, being the owner of unit(s)   Building and Unit*,

in the   Community / Association*, who resides at, Full Address, City, State, Zip*   

do authorize     Co-owner Name   ,

who is present at the Association's annual meeting and eligible to vote, as my

representative to cast my vote at the meeting to be held   Date* ,

for the election of new members for the Board of Directors and to attend any such

business as may be deemed appropriate, according to the number and value of votes I

would be entitled to cast if personally present.

Full Name*      Signature   Date*   Email*