Fillable Form For Written Recall Agreement / Ballot (MyFloridaLicense)

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Form For Written Recall Agreement / Ballot (MyFloridaLicense)

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The Form For Written Recall Agreement / Ballot (MyFloridaLicense) form is 1 page long and contains:

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  • 16 check-boxes
  • 15 other fields

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FORM FOR HOMEOWNERS WRITTEN RECALL AGREEMENT / BALLOT
BLOCK A
This agreement is being circulated for the purpose of recalling the board directors listed below, currently serving on the
board of directors at
(fill in name of homeowners’
association). Pursuant to section 720.303(10), Florida Statutes, any board director may be recalled and removed from
office with or without cause by the vote or agreement in writing by a majority of all the voting interests. Rule 61B-
81.003, Florida Administrative Code, governs recall by written agreement. This recall ballot may be used for one
successive recall effort occurring within 120 days from the date the ballot was signed by the homeowner if the first recall
effort is unsuccessful. Any revocation of this agreement must be in writing and delivered to the board prior to service of
the recall agreement on the board.
THE BOARD DIRECTORS SUBJECT TO RECALL ARE LISTED BELOW. PLEASE CAST YOUR VOTE BY
MARKING EITHER THE "RECALL" OR "RETAIN" BOX NEXT TO EACH BOARD DIRECTOR'S NAME.
(Note that these boxes cannot be pre-marked but must be filled out by the voter.)
RECALL
RETAIN
Name of board director
Name of board director
Name of board director
Name of board director
Name of board director
BLOCK B
BALLOT FOR REPLACEMENT OF BOARD DIRECTORS (use only where at least a majority of the board is being
recalled)
The individuals listed below have indicated their willingness to replace the recalled board directors. You may vote for
these candidates by marking the box next to the candidate's name OR you may write in the name of a write-in candidate.
In any event, do not vote for more than a total of the number of directors sought to be recalled, including write-in
candidates.
In Favor of
Name of replacement board director
Name of replacement board director
Name of replacement board director
Name of replacement board director
Name of replacement board director
Write-In Candidate
BLOCK C
Homeowner
(
Print name
)
Parcel Address
By signing this document, I affirm that I am authorized in the manner required by the governing documents to cast this
vote on behalf of this parcel.
Homeowner(s) Signature Date signed
HOMEOWNERS' REPRESENTATIVE: The person identified below has been designated as the homeowners'
representative who will receive the recall agreements, open the written agreements, tally the votes, serve copies of the
agreements on the board, and receive other information on behalf of the homeowners: (below, fill in the name and address
of the homeowners’ representative)
WRITTEN RECALL AGREEMENT INSTRUCTIONS
To recall and replace board directors listed on the recall agreement, please follow the steps below:
(1) In Block A on the attached form, place a checkmark or “X” on the "RECALL" line next to the name of
each board director you wish to recall and remove from the board. Place a checkmark or “X” next to the
board director's name on the "RETAIN" line if you are voting for the board director to remain on the
board. Note that ballots may not be pre-marked. The voter must fill in the recall or retain boxes.
(2) Place a checkmark or “X” next to the names of the candidates in Block B who you wish to replace the
recalled board directors OR you may write in your own choices. DO NOT VOTE FOR MORE
THAN A TOTAL OF THE NUMBER OF DIRECTORS SOUGHT TO BE RECALLED. This
includes voting for persons listed, write-in votes, or a combination. The ballot for replacement
board directors in Block B should be included and filled in on the written agreement only
if a majority
or more of the board directors are sought to be recalled. Where a majority or more of the board
directors are recalled, the homeowners have the right to name replacement board directors. If less
than a
majority of the board is recalled, the remaining board directors have the right to appoint replacements.
(3) In Block C, print your name and address of the parcel (property) subject to the homeowners’
association in the space designated. Sign the agreement in the space designated. This will affirm that
you are authorized to cast the vote, in the manner required by the documents. If your parcel is owned by
more than one person, your documents may require that a voting certificate be filed with the association
designating which owner has the authority to cast votes on behalf of the parcel. If your documents
require a voting certificate and one has not been filled out and delivered to the association, your vote
may be rejected.
(4) Return the executed agreement to the homeowners' representative named in the agreement in Block C.
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Form For Written Recall Agreement Ballot (MyFloridaLicense)

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Completed 22 November 2021

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