Revocable Proxy

Revocable Proxy : Please fill out the following form. Please print your completed form if you would to have a copy for your records.

BE IT KNOWN, that the undersigned (Stakeholder's name) of (Stakeholder's address) being the owner of 1000 shares of voting common stock of (Corporation) does hereby grant to (Name of the person who is granted the proxy) a proxy to vote on my behalf 1000 shares of stock at any future general or special meeting of the stockholders of the Corporation. Said proxy-holder is entitled to attend said meetings on my behalf or vote said shares through mail proxy, all to the same extent as if I voted said shares personally, and may vote on any matter that may properly come before said stockholder meeting.

During the pendency of this proxy, all rights to vote said shares shall be held by the proxy-holder and shall not be voted by the Undersigned, provided the undersigned may revoke this proxy at any time, upon written notice of termination by certified mail, return receipt.

The proxy-holder shall be entitled to reimbursement for reasonable expenses incurred hereunder, but otherwise shall not be entitled to compensation for the services to be rendered.

This agreement shall be binding upon and inure to the benefit of the parties, their successors, assigns, and personal representatives.

Signed under seal this day of (date and year).

Date :



On _______________________ before me _________________________ personally appeared ___________________________ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

WITNESS my hand and official seal.

Signature :

Affiant : Known / Unknown :

ID Produced :

Seal :

Affidavits Forms Index

Revocable Proxy

Letter Asking A Donation
Letter Asking A Favor
Letter Asking for More Details
Letter Asking for Donations
Letter Denying of Dealership
Letter for Change of Address
Letter for Distributorship
Letter for Employment
Letter for Hotel Reservation
Letter for Letter of Credit
Letter for Line of Credit
Letter for Product Launch
Letter for Promotion
Letter for Retirement Congrats
Letter for Scholarship
Letter for Settlement of Bill
Letter for Tender
Letter for Testimonial
Letter of Agreement
Letter of Assurance
Letter of Credit
Letter of Enquiry
Letter of Order
Letter of Persuasion
Letter of Sympathy
Letter Offering Discount
Letter Related to Advertisement
Letter Related to Despatch
Letter Related to Training
Letter to A Foreign Buyer
Letter to Pen-Friend
Letter to Police
Letter with Order
Letter with Quotation
Letter Writing
Letters about Company Shares
Letters by Clubs and Societies
Letters by Landlords & Tenants
Letters for Appointment of Dealers
Letters for Business Relations
Letters for Buying and Selling
Letters for Credit & Collection
Letters for Foreign Travel
Letters for Lease & Tenancy
Letters for Loan & Borrowing
Letters for Transfer & Assignment
Letters for Insurance
Letters Noting Discrepancy
Letters of Condolence & Sorrow
Letters of Regret
Letters Regarding Maintenance
Letters Regarding Payment
Letters Related to Employees
Letters to Local Corporation
Letters to Postal Authorities
Letters to The Editor
Letters Used in Real Estate
Letters With Postal Department
Letters With Railways Authorities

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