Broadhurst Designated Voting Member Form

Lot(s) *

The lot number that this Voting Member represents.

Name *

First

Last

The name of the Voting Member (choose one person whose name is on the deed)

Email *

Phone *

Mailing Address of Voting Member *

Address Line 1

Address Line 2

City

State

Zip Code

The mailing address of the Voting Member (choose one person whose name is on the deed)

Effective Date for the Voting Member *

Authorized Signature *

The signatures and date signed of all of the contract purchasers or record owners of fee interest authorizing the Voting Member. (All name(s) on the Deed of Trust)

Authorized Signature 2

The signatures and date signed of all of the contract purchasers or record owners of fee interest authorizing the Voting Member. (All name(s) on the Deed of Trust)

Date Signed *

Proxies authorized *

Designated Proxy

Please contact HOA Board with questions: broadhurst.board@gmail.com.

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Broadhurst Designated Voting Member Form

Links

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