Shareholder Revocable Proxy

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Shareholder Revocable Proxy and Revocation for use in most states.

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A proxy is a written document whereby one person gives another the authority to vote in his stead, in this case at the shareholders meeting. This type of arrangement is used by shareholders who are unable or unwilling to attend the shareholder meeting. The shareholder giving the proxy may indicate how he wants the proxy holder to vote. This proxy may be revoked by the shareholder by providing written notice. A written Revocation of Proxy Notice is included.

This attorney-prepared packet contains:
  1. Instructions and Checklist;
  2. Information about the Revocable Proxy;
  3. Revocable Proxy; and
  4. Revocation of Proxy Notice
State Law Compliance: Designed for use in all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Shareholder Revocable Proxy

 

Secretary
[Insert the Company Name]
[Insert the Address]
 
 
 
I, ____________________________________, a shareholder of ___________________   
_______________________________ (the “Company”) do hereby appoint ___________
_____________ or failing him/her ___________________________________ as my proxy at the meeting of the Company on ____________________, 20__ at __________________________________________________________________________________ to vote for me at that meeting or any adjournment thereof.
 
If no person is named above, or if the person named above does not attend the meeting or is not legally capable of voting for me, the Chairman of the meeting will be my proxy to vote for me at the meeting or any adjournment thereof on my behalf.  
 
I understand that if I do not direct my proxy how to vote, he/she may vote or abstain as he/she sees fit.
 
I may, by providing written notice to the proxy, revoke and terminate the rights granted hereunder.
 
 
 
 
 
 
   
Dated:_____________________________
 
 
__________________________________
(Signature of shareholder)
 
 
 
 
 
 
 
REVOCATION OF PROXY
 
To:     Secretary
[Insert the Company Name]
[Insert the Address]
 
 
And To:  [Insert the name of the Proxy]
   [Address of Proxy]
   
[**Be sure to send a copy of this revocation to both the Company and the Proxy**]
 
Whereas, pursuant to a form of proxy dated __________, 20__, I appointed ________________ to act as my proxy at the meeting of the shareholders of the [insert company name] to be held on ___________, 20__.  I hereby revoke the appointment of ___________________ as my proxy and terminate any and all right granted to him/her to act as a proxy on my behalf.
 
 
Date:_____________________________
 
 
____________________________________
[Insert Name of Shareholder]
 
 
Number of Pages4
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#21895
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Shareholder Revocable Proxy

 

Secretary
[Insert the Company Name]
[Insert the Address]
 
 
 
I, ____________________________________, a shareholder of ___________________   
_______________________________ (the “Company”) do hereby appoint ___________
_____________ or failing him/her ___________________________________ as my proxy at the meeting of the Company on ____________________, 20__ at __________________________________________________________________________________ to vote for me at that meeting or any adjournment thereof.
 
If no person is named above, or if the person named above does not attend the meeting or is not legally capable of voting for me, the Chairman of the meeting will be my proxy to vote for me at the meeting or any adjournment thereof on my behalf.  
 
I understand that if I do not direct my proxy how to vote, he/she may vote or abstain as he/she sees fit.
 
I may, by providing written notice to the proxy, revoke and terminate the rights granted hereunder.
 
 
 
 
 
 
   
Dated:_____________________________
 
 
__________________________________
(Signature of shareholder)
 
 
 
 
 
 
 
REVOCATION OF PROXY
 
To:     Secretary
[Insert the Company Name]
[Insert the Address]
 
 
And To:  [Insert the name of the Proxy]
   [Address of Proxy]
   
[**Be sure to send a copy of this revocation to both the Company and the Proxy**]
 
Whereas, pursuant to a form of proxy dated __________, 20__, I appointed ________________ to act as my proxy at the meeting of the shareholders of the [insert company name] to be held on ___________, 20__.  I hereby revoke the appointment of ___________________ as my proxy and terminate any and all right granted to him/her to act as a proxy on my behalf.
 
 
Date:_____________________________
 
 
____________________________________
[Insert Name of Shareholder]
 
 

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