Revocation Of Power Of Attorney Template - State Of New York

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Revocation of Power of Attorney
NOTICE IS HEREBY GIVEN TO the Agents(s) and third parties who received, retained and
acted upon, a certain Power of Attorney, signed by
(the “Principal”) on
20
designating
as my Agent(s),
THAT I HEREBY REVOKE that Power of Attorney and all the power and authority granted by
that Power of Attorney, effective on the date of my signature below.
Date of signature:
20
Principal signs here
_________________________
Notice sent to the following:
State of New York, County of
ss.:
ACKNOWLEDGMENT
On
before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),
and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s)
acted, executed the instrument.
(signature and office of person taking acknowledgment)

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