I,   First Name   Last Name   , is the homeowner of   Street Address   Address Line 2   City   State   Zip .  I am entitled to vote any   Meeting Name   meetings.
I, the homeowner, am assigning   First Name   Last Name   the authority to vote on my behalf with the conditions of following and respecting these issues listed below:
The proxy, as the homeowner's substitute, may attend and represent the homeowner like the homeowner were personally present at the blanks meetings.