Proxy Forms

Type of Proxy(Required)

Single Owner

Multiple Owner

Business Trust

Resolution Details

Details of resolution passed by board/trustees:

Name of Company/Trust(Required)

Company/Trust Registration No.(Required)

Meeting Location(Required)

Meeting Date(Required)

Resolution No.(Required)

It was resolved that the individual identified below was authorised to act as a member of the Steering Committee and to represent the Erf identified below during the process aimed at establishing the Clare Park City Improvement District.

Authorisation

I, the owner, hereby authorise the individual identified below to act as a member of the Steering Committee and to represent the Erf identified below during the process aimed at establishing the Clare Park City Improvement District.

Authorisation

We, the owners, hereby authorise the individual identified below to act as a member of the Steering Committee and to represent the Erf identified below during the process aimed at establishing the Clare Park City Improvement District.

Proxy's Details

Proxy - Name(s)(Required)

Proxy - Surname(Required)

Proxy - ID Number(Required)

Property Details

Erf No. of the Property(Required)

Address of the Property(Required)

Details of Owner/s

Owner's Name(s)(Required)

Owner's Surname(Required)

Owner's Signature(Required)

Date of Owner's Signature(Required)

Second Owner's Name(s)(Required)

Second Owner's Surname(Required)

Second Owner's Signature(Required)

Date of Second Owner's Signature(Required)

Directors/Trustees' Details

Director/Trustee's Name(s)(Required)

Director/Trustee's Surname(Required)

Director/Trustee's Signature(Required)

% Owned(Required)

Second Director/Trustee's Name(s)

Second Director/Trustee's Surname

Second Director/Trustee's Signature

% Owned