Sample Limited Proxy Form printable pdf download

DBPR Form CO 6000-7

Rule 61B-23.002, F.A.C.

Effective:_June 23, 2009_

SAMPLE LIMITED PROXY FORM

The undersigned, owner(s) or designated voter of unit No. ______ in______(name)___________

Condominium, appoints

(PRINT NAME OF PROXYHOLDER)

or _________________ (Instructions to associations: Fill in the name or position of an officer or director

who will serve as proxy holder.) as my proxyholder to attend the meeting of the members of

___________(name)___________Condominium Association, Inc., to be held ___(date)_____, 20__, at

_____(time)_____, in __________(place)_______, Florida. The proxyholder named above has the authority to

vote and act for me to the same extent that I would if personally present, with power of substitution, except that

my proxyholder’s authority is limited as indicated below:

GENERAL POWERS (You may choose to grant general powers, limited powers or both. Check “General

Powers” if you want your proxyholder to vote on other issues which might come up at the meeting and for

which a limited proxy is not required).

_______ I authorize and instruct my proxy to use his or her best judgment on all other matters which properly

come before the meeting and for which a general power may be used.

LIMITED POWERS (FOR YOUR VOTE TO BE COUNTED ON THE FOLLOWING ISSUES, YOU MUST

INDICATE YOUR PREFERENCE IN THE BLANK(S) PROVIDED BELOW).

I SPECIFICALLY AUTHORIZE AND INSTRUCT MY PROXYHOLDER TO CAST MY VOTE IN

REFERENCE TO THE FOLLOWING MATTERS AS INDICATED BELOW:

(Instructions to associations; List below the specific questions or issues to be voted on. The following are only

examples.)

Financial Reporting Waiver

A. Do you want to provide for a lower level of year-end financial reporting than is required by § 718.111(13),

Florida Statutes, for the next fiscal/calendar year? Currently, the Association is required to prepare a (list the

level).

________ YES

_______ NO

If yes, vote for one of the board proposed options below: (The option with the most votes will be the

one implemented.)

LIST OPTIONS HERE

Sample Limited Proxy Form