Form 4 - Enduring Power Of Attorney Resignation By Attorney Or Alternative Attorney Page 2

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STATE OF VICTORIA
ENDURING POWER OF ATTORNEY
RESIGNATION BY ATTORNEY OR ALTERNATIVE ATTORNEY
Tick the applicable option only. If the second option applies, insert a description of the matters for which you are resigning,
e.g. ‘all financial matters’.
for all matters for which I have power
for the following matters, namely:
under the enduring power of attorney made on or about
[Insert the date made (if known) or approximate date made]
by
[Insert full name of principal]
Signed
Date
[Signature of attorney/alternative attorney]
[Insert date]
VICTORIA
Form 4 Enduring Power of Attorney Resignation by Attorney or Alternative Attorney
Page 2 of 2
State Trustees Power of Attorney Kit (Version 1508)

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