Electronic Proxy Form
This proxy form can be completed to authorise an individual to represent the owner(s) of a lot, at a General Meeting, or when Voting outside a General Meeting.
Owner Details
Please provide complete details of the owner(s) that are submitting this proxy form
Are you completing this Proxy form as either:
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The sole Owner of the lot(s)
As Co-Owners of the lot(s)
An Incorporated Owner of the lot(s)
The Owners Name
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As shown on the Certificate of Title
How Many Co-Owners are on the Title?
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Your Name
*
In what capacity are you representing the Incorporated Owner?
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e. Director/Secretary/Attorney/Officer/Agent. etc
All Co-Owner names on the Certificate of Title - use one line per name please
*
Strata Scheme Information
Please provide accurate details of the Strata Scheme for this proxy form.
Strata Plan Number
*
eg. 38156
Name of Strata Scheme
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eg. 23 Hasborne Place, or High Village
Date of the General Meeting/VOGM?
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-
Day
-
Month
Year
Date
Your Email Address
*
example@example.com
Is this proxy to be used at a General Meeting or for a VOGM?
*
General Meeting
Vote Outside a General Meeting
Which Lots are you completing this form on behalf of?
*
List all the lots owned
Back
Next
Select your voting representative & sign the Form
Please select who will represent you at the General Meeting, and then provide your electronic signature on the form.
Who would you like to represent your Lot on your behalf?
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A designated Proxy Holder, OR failing their attendance, the Chairperson of the Strata Company
A designated Proxy Holder ONLY
The Chairperson of the Strata Company
Your Designated Proxy Holders Name
*
Name of the person who will represent your Lot
Signature of Sole Owner
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Signature of Incorporated Owner's Representative
*
Signature Co-Owner 1
*
Signature Co-Owner 2
*
Signature Co-Owner 3
*
Signature Co-Owner 4
*
Signature Co-Owner5
*
Please provide voting instructions if applicable
By clicking this box, you confirm that you have completed this form accurately and that you have the authority of the Owner(s) to submit this form
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Submit
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