Revocation of Power of Attorney
I,
, do hereby revoke the durable
power of attorney granted to
who is located at
This power of attorney was executed on
in
This revocation is complete, and applies to any documents, actions, etc.
executed after the date indicated below. This revocation shall not apply
to any documents, actions, etc. executed prior to the below date.
Signed:
Name
Signature
Notary Seal: