Revocation Of Power Of Attorney printable pdf download

Revocation of Power of Attorney

I, the undersigned Principal, ______________________________, being of sound mind and legal capacity,

hereby willingly revoke the Power of Attorney dated ____________________, which was granted by me to

______________________________ (Agent/attorney-in-fact listed in Power of Attorney).

I hereby give notice to ______________________________ (Agent/attorney-in-fact) and all other interested parties that I

terminate, cancel and revoke every power, right and authority thereby given and declare the above described Power of

Attorney null and void and of no further force or effect. Agent/attorney-in-fact no longer has authority to act on my behalf

and is instructed to immediately return the original and any copies of the described Power of Attorney in their possession

to Principal.

Executed this ______ day of ____________________ 20 ______

Principal’s Signature: ______________________________

Principal’s Address: ______________________________

______________________________

Witnesses:

I believe, to the best of my knowledge, that the Principal is at least eighteen years of age, of sound mind, and is signing

this document voluntarily, in my presence.

Witness 1 Name:

______________________________

Witness 2 Name:

____________________________

Witness 1 Address: ______________________________

Witness 2 Address: ____________________________

______________________________

____________________________

Witness 1 Signature: ______________________________

Witness 2 Signature: ____________________________

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State of ____________________

County of ____________________

Acknowledged before me by Principal ______________________________ and

subscribed and sworn to, or affirmed, before me by

Witnesses ______________________________ and ______________________________

on this ______ day of ____________________ 20______.

Notary Public Signature ______________________________

My commission expires ____________________

Revocation Of Power Of Attorney