IN THE COUNTY COURT IN AND FOR SANTA ROSA COUNTY, FLORIDA FORM 7.350 FLORIDA SMALL CLAIMS RULES CORPORATE AUTHORIZATION TO ALLOW EMPLOYEE TO REPRESENT CORPORATION AT ANY STATE OF LAWSUIT CASE NO:_____________________________________ _______________________________________________ Plaintiff(s) Vs _______________________________________________ Defendant(s) AUTHORIZATION OF CORPORATE OFFICER ____________________________________________________________________ is an employee of ___________________________________________________________________________________ (Name of Corporation that is a party to this action) This individual has authority to represent the 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 foregoing Corporate Authorization and that the facts stated in it are true. Dated: _____________________________ Signing Authority: Print Name: Print Title: Address: Phone No: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ (President, Vice President, Secretary, Treasurer) _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ I certify that a copy of this form has been furnished to (list all parties of this action): _______________________________________________________________________________________ _______________________________________________________________________________________ By ____________________________________________ (hand delivery, mail or fax) _________________ On __________________ day of __________________, 20_____. _____________________________________________ SIGNATURE OF OFFICER _____________________________________________________ NAME _____________________________________________ TITLE 13 American LegalNet, Inc. www.FormsWorkFlow.com