Owners Corporation Proxy Form

Owners Corporation Plan No.

under regulation 6 of the Owners Corporations Regulations 2007, I/We

Name(s) of Lot Owners

Of (address)

Being the owner(s) of lot(s)

Lot number(s)

Authorise

Name of person

Of (address)

As my/our proxy:

I am a: (tick applicable box)

A to attend, speak and vote in person on my/our behalf until (insert date until which proxy authorisation will be valid, up to a maximum period of 12 months)

OR

 to attend, speak and vote in person on my/our behalf at the annual or special general meeting of the owners corporation to be held on (insert date)

OR

 to vote for me/us and on my/our behalf at the ballot having a closure date of (insert date)

OR

 I/We direct the proxy to vote in relation to the following resolutions or matters as follows (If relevant, set out specific instructions to your proxy concerning how to vote in relation to particular resolutions or matters)

B to represent me/us on the committee of the Owners Corporation

Signed by (member(s) giving proxy)

Printed name(s)

Upload Signature

Date

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