Explanation and Guide
Form: Explanation: Revocation of Proxy (Form 5.20) This is a form revoking a proxy previously granted.
Form 5.20 Copyright © LegalDocs Online, Inc. All Rights Reserved. Use of this form is subject to a Terms of Use Agreement.
REVOCATION OF PROXY [Name of Corporation]
The undersigned, as owner of the securities of [name of corporation] described below, hereby revokes any and all proxies and substitutions of proxies, including the proxy executed on [date], naming __________ as proxy, and further revokes any and all authority heretofore given to any person or persons to attend meetings, vote, consent, or otherwise act on behalf of the undersigned in any manner whatsoever with respect to such securities. Dated: __________ [signature]
[printed name exactly as on stock certificate] Securities Information: Certificate No.: Number of Shares: Class of Shares:
Form 5.20 DOCSSF1:241188.1