Sample Limited Proxy Form (Page 2 of 2) in pdf

Sample Limited Proxy Form Page 2

DBPR Form CO 6000-7

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

Effective:_June 23, 2009_

Reserve Funding Waiver

WAIVING OF RESERVES, IN WHOLE OR IN PART, OR ALLOWING

ALTERNATIVE USES OF EXISTING RESERVES MAY RESULT IN UNIT

OWNER LIABILITY FOR PAYMENT OF UNANTICIPATED SPECIAL

ASSESSMENTS REGARDING THOSE ITEMS:

B. Do you want to provide for less than full funding of reserves than is required by § 718.112(2)(f), Florida

Statutes, for the next fiscal/calendar year?

________ 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

DATE: _________

______________________________________________________________________

SIGNATURE(S) of OWNER(S) OR DESIGNATED VOTER

SUBSTITUTION OF PROXYHOLDER

The undersigned, appointed as proxyholder above, designates _____________________________ to substitute for me in

voting the proxy as set forth above.

(print name)

_____________________________________

Date: _____________

Signature of proxyholder

THIS PROXY IS REVOCABLE BY THE UNIT OWNER AND IS VALID ONLY FOR THE MEETING FOR

WHICH IT IS GIVEN AND ANY LAWFUL ADJOURNMENT. IN NO EVENT IS THE PROXY VALID FOR

MORE THAN NINETY (90) DAYS FROM THE DATE OF THE ORIGINAL MEETING FOR WHICH IT WAS

GIVEN.

Sample Limited Proxy Form Page 2