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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 plac.

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