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PROXY

1, _ , residing at _

_______________

, Madison, County of Madison, Mississippi, being


_

the holder of ONE VOTE, do hereby constitute and appoint residing at

Madison, County of Madison, Mississippi, as my proxy to attend the meeting of the home owners of Ridgefield Subdivision to be held the at St. Joseph

Catholic Church, Madison, MS, or any continuation or adjournment thereof, with full power to vote and act for me and in my name, place and stead, in the same manner, to the same extent and with the same effect that I might were I personally present thereat, giving to said
;===========:::::;Enter name of Appointed Proxy

__

full power of substitution and revocation, and I hereby revoke

any other proxy heretofore given by me.

Signed this day:

Signature of Homeowner

Printed Name of Homeowner I hereby accept appointment of this proxy by _

By

_
Signature of Proxy

Printed Name of Proxy

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