IN BAY COUNTY COURT IN AND FOR BAY COUNTY, FLORIDA SMALL CLAIMS DIVISION ______________________________ Plaintiff Case No. ______________ -vs______________________________ Defendant CORPORATE AUTHORIZATION TO ALLOW EMPLOYEE TO REPRESENT CORPORATION AT ANY STAGE OF LAWSUIT AUTHORIZATION OF CORPORATE OFFICER _______________________________ is an employee of ______________________________ (name of employee) (name of corporation that is a party to _________________________________ . This individual has authority to represent the (this action) corporation at any stage of the trial court proceedings, including mediation. The undersigned giving the authority is an officer of the corporation. Pursuant to section 92.525, Florida Statutes, under penalties of perjury, I declare that I have read the forgoing Corporate Authorization and that the facts stated in it are true. Dated: _____________________ SIGNING AUTHORITY: ________________________________________ (Signature) Print name and title ________________________________________ (president; vice president; secretary; treasurer) _________________________________________ (Address) _________________________________________ (City, State and Zip Code) _________________________________________ (Phone Number) American LegalNet, Inc. www.USCourtForms.com I certify that a copy of this form has been furnished to (list all parties to this action) _______________________________________________________________________ by (hand delivery/mail/fax) on _______________________ . ___________________________________ Name and title American LegalNet, Inc. www.USCourtForms.com