========================================================================
[ASSOCIATION NAME] — PROXY APPOINTMENT FORM
For the meeting of: __________ (date)
Free template from The HOA Guide — thehoaguide.com
========================================================================
NOTE: Proxy rules vary by state and by your governing documents. Some states
limit proxy use or duration, and some require a specific form. Confirm yours
before relying on this template.

I / We, __________________________________ (owner name),
owner of unit / lot #: __________ at [Association Name],

hereby appoint: ______________________________ (name of proxy holder)

   [ ] the Board Secretary, OR
   [ ] the following person: __________________________

as my/our proxy to attend and vote on my/our behalf at the meeting named above
and any adjournment of it.

This proxy is (choose one):
   [ ] GENERAL — proxy holder may vote at their discretion on all matters.
   [ ] LIMITED / DIRECTED — proxy holder must vote as follows:
        Item: __________________   Vote: [ ] For  [ ] Against  [ ] Abstain
        Item: __________________   Vote: [ ] For  [ ] Against  [ ] Abstain

This proxy is valid only for the meeting named above (and its adjournment) and
may be revoked in writing before it is exercised.

Owner signature: ____________________________   Date: __________
Owner signature: ____________________________   Date: __________
(Co-owners: all owners of record may need to sign — check your bylaws.)
------------------------------------------------------------------------
Return to: __________________________ by __________ (deadline)