IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT,
IN AND FOR PINELLAS COUNTY, FLORIDA
UCN: 52200______________________________ Reference No.: ____________________________
Plaintiff(s)
vs.
Defendant(s)
____________________________________________________ /
AUTHORIZATION OF CORPORATE OFFICER
TO WHOM IT MAY CONCERN:
___________________________________________________ is an employee of the corporation
____________________________________________ and is authorized by the undersigned corporate officer
to appear on behalf of said Corporation in this matter, including having full authority for
purposes of mediation. The undersigned officer is the President, Vice President, Secretary, or
Treasurer of the Corporation.
I hereby swear of affirm under the penalty of perjury that the foregoing is true and accurate.
_________________________________________________
Signature of Officer Authorizing
_________________________________________________
Printed Name of Officer Authorizing
_________________________________________________
Title of Authorizing Officer