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CANDIDATE APPLICATION FORM FOR ELECTION TO THE BOARD OF DIRECTORS OF THE PAVILION CONDO ASSOCIATION OF MIAMI BEACH, INC

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This official form is to be used by the “Candidate” for election to become a Director of The Pavilion Condominium Association of Miami Beach, Inc., at the Elections to be held on Wednesday, January 25, 2012. Complete the requested information below.

Unit #: Building Address:

Signature of Candidate: Dated: Print Name:

I have/have not (circle one) enclosed a Candidate Information Sheet with this Application.

THIS APPLICATION FORM MUST BE RECEIVED BY THE ASSOCIATION NO LATER THAN FRIDAY, DECEMBER 16, 2011.

Note: Pursuant to the Condominium Act, a person who has been convicted of a felony by any court of record in the United States and who has not had his or her right to vote restored pursuant to law in the jurisdiction of his or her residence is not eligible for Board membership. Further, If the owner is delinquent in the payment of any fee, fine, or special or regular assessment due to the association for a period of more than 90 days the owner is not eligible for the Board membership nor to vote on the election of other candidates.