Silver Springs Single Family Homeowners Association: OFFICIAL PROXY

OFFICIAL PROXY FORM FOR:

Silver Springs Single Family Homeowners Association

Annual Meeting of the Members

October 8th, 2019 at 7:00 p.m.

St. Luke's Episcopal Church

4595 Silver Springs Dr., Park City UT

Question Title

* 1. Please provide your Silver Springs contact information.

Owner Name

Silver Springs Address

Email Address

Phone Number

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* 2. By checking this box, I affirm that I have authorization to designate a proxy as the owner or on behalf of the owner of this property.

Yes

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* 3. I want to grant the following proxy type:

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* 4. I hereby constitute and appoint the name typed below as proxy to represent me, as an owner in the Silver Springs Single Family Homeowners Association, at the Annual Meeting of the Members on October 8th 2019, or at any change, adjournment, or continuation thereof, and hereby revokes all prior proxies heretofore executed. If the blank below for the appointment of a proxy is left empty, I hereby appoint the President as my proxy.

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* 5. Please type your name in this box to serve as your digital signature for this proxy form.