PROXY FORM

[ASSOCIATION NAME]

[ASSOCIATION NAME]
[ADDRESS]
[CITY, STATE ZIP]

PROXY FOR [MEETING TYPE] MEETING

Meeting Date: [DATE]
Meeting Time: [TIME]
Meeting Location: [LOCATION / VIRTUAL MEETING INFORMATION]

PROPERTY INFORMATION

Property Address: ________________________________________________

Lot/Unit Number: ________________________________________________

Owner Name(s): ________________________________________________

Account Number: ________________________________________________

APPOINTMENT OF PROXY

I/We, the undersigned, being the Owner(s) of the above-referenced property and a Member of [ASSOCIATION NAME], hereby appoint:

SELECT ONE:

☐ Option A - Named Proxy:

________________________________________________
(Print name of person appointed as proxy)

________________________________________________
(Address of proxy holder)

________________________________________________
(Phone number of proxy holder)

☐ Option B - Board Designee:
I appoint the President of the Board of Directors, or in the President's absence, another Board member designated by the Board, to serve as my proxy.

☐ Option C - Management Designee:
I appoint the Association's management representative attending the meeting to serve as my proxy.

SCOPE OF PROXY

SELECT ONE:

☐ General Proxy:
My proxy holder is authorized to vote on all matters that properly come before the meeting, at the proxy holder's discretion.

☐ Limited Proxy:
My proxy holder is authorized to vote ONLY on the specific matters indicated below:

DIRECTED VOTES (FOR LIMITED PROXY)

Agenda Item 1: [DESCRIPTION]

☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

Agenda Item 2: [DESCRIPTION]

☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

Agenda Item 3: [DESCRIPTION]

☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

Agenda Item 4: [DESCRIPTION]

☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

Budget Ratification:

Shall the proposed annual budget for fiscal year [YEAR] be ratified?
☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

Special Assessment:

Shall a special assessment of $[AMOUNT] per lot be approved for [PURPOSE]?
☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

Amendment to [CC&Rs/Bylaws/Rules]:

Shall the proposed amendment to [DOCUMENT] be approved?
☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

Other Matter: ________________________________________________

☐ FOR ☐ AGAINST ☐ ABSTAIN ☐ Proxy holder's discretion

ELECTION OF DIRECTORS

☐ Proxies for director elections are [PERMITTED / NOT PERMITTED] under applicable law and the Association's Governing Documents.

If permitted, vote for up to [NUMBER] candidates:

☐ [CANDIDATE NAME 1]
☐ [CANDIDATE NAME 2]
☐ [CANDIDATE NAME 3]
☐ [CANDIDATE NAME 4]
☐ [CANDIDATE NAME 5]
☐ Write-in: ________________________________________________

[IF PROXIES NOT PERMITTED FOR ELECTIONS:]
NOTICE: This proxy may not be used to vote in director elections. You must vote by secret ballot. A separate ballot [HAS BEEN / WILL BE] mailed to you.

PROXY TERMS AND CONDITIONS

Duration

This proxy is valid only for the meeting described above and any adjournment(s) or postponement(s) thereof.

☐ OR - Extended Proxy:
This proxy shall remain in effect for all meetings held within [ELEVEN (11)] months of the date of this proxy, unless revoked earlier.

Revocation

This proxy may be revoked at any time before the vote by:
- Delivering a written revocation to the Secretary
- Submitting a later-dated proxy
- Attending the meeting and voting in person

Substitution

☐ My proxy holder [MAY / MAY NOT] substitute another person to act as proxy.

Multiple Owners

If this property is owned by more than one person, all owners must sign this proxy, OR the signing owner(s) represent that they have authority to act on behalf of all owners.

CERTIFICATIONS

By signing below, I/we certify that:

☐ I am/we are the Owner(s) of the property identified above and entitled to vote at Association meetings.

☐ I/we have read and understand this proxy.

☐ If a limited proxy, I/we have indicated my/our voting preferences above.

☐ If more than one owner, I/we represent that I/we have authority to execute this proxy on behalf of all owners OR all owners have signed below.

☐ I/we understand this proxy may be revoked as provided above.

OWNER SIGNATURE(S)

Owner Signature: ______________________________ Date: ______________

Print Name: ______________________________

Co-Owner Signature: ______________________________ Date: ______________

Print Name: ______________________________

SUBMISSION INSTRUCTIONS

This proxy must be received by the Association BEFORE or AT the meeting.

☐ Return by Mail:
[ASSOCIATION NAME]
Attn: Secretary
[ADDRESS]
[CITY, STATE ZIP]

☐ Return by Email:
[EMAIL]
(Scanned signature accepted)

☐ Return by Fax:
[FAX NUMBER]

☐ Deliver in Person:
Present to the Secretary at the meeting location before the meeting is called to order.

Deadline: Proxies must be received no later than [TIME] on [DATE].

FOR ASSOCIATION USE ONLY

Date Received: ______________

Received By: ______________________________

Verified:
☐ Owner is a Member in good standing
☐ Signature(s) verified
☐ Property address/lot number confirmed
☐ Proxy is complete and valid
☐ [If applicable] All co-owners have signed OR signing owner represents authority

Proxy Status:
☐ Accepted
☐ Rejected - Reason: ______________________________
☐ Revoked - Date: ______________

Recorded By: ______________________________

Notes:
________________________________________________
________________________________________________

IMPORTANT NOTICES

PROXY LIMITATIONS:
- Proxies may be limited or prohibited for certain matters under state law or the Governing Documents.
- In California, proxies may NOT be used for elections of directors; secret ballots are required.
- Check your state's HOA laws and the Association's Bylaws for specific proxy requirements.

QUORUM:
- Members present in person or by proxy count toward quorum.
- If a quorum is not achieved, the meeting may be adjourned.

VOTING RIGHTS:
- Only Members in good standing may vote.
- Voting rights may be suspended for delinquent assessments.

QUESTIONS:
Contact the Association at [PHONE] or [EMAIL] if you have questions about this proxy or the meeting.

SAMPLE PROXY INSTRUCTIONS

General Proxy: If you want your proxy holder to vote on your behalf using their judgment on all matters, select "General Proxy" and leave the directed votes section blank.

Limited Proxy: If you want to direct how your proxy holder should vote on specific matters:
1. Select "Limited Proxy"
2. Mark your vote (FOR, AGAINST, ABSTAIN, or Proxy holder's discretion) for each item
3. Leave any item blank if you want your proxy holder to use their judgment on that item

Proxy Holder: You may name any person you trust to be your proxy holder. If you prefer, you may appoint a Board or management designee. The proxy holder must be present at the meeting to cast your vote.

End of Document