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__________ authorization to vote on my behalf on all issues put to a Name of proxy vote by the homeowners association during the _______________________ meeting. day & year Home Owner(s) Signature: _______________________________________________ Date: ________________________________ This form must be presented during the HOA Meeting, at the time of voting Shearon Farms Single Family Homeowners Association 9705 Precious Stone Drive | Wake Forest, NC 27587 www.shearonfarms.com | president@shea.

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