Revocation Of Power Of Attorney Form - State Of California printable pdf download

Revocation Of Power Of Attorney Form - State Of California

RECORDING REQUESTED BY:

AND WHEN RECORDED MAIL TO:

SPACE ABOVE THIS LINE FOR RECORDER’S USE

REVOCATION OF POWER OF ATTORNEY

The undersigned hereby revokes the Power of

Attorney granted by the undersigned to

_______________________________, as Attorney in Fact, dated _____________________, ________

and recorded on _____________________, ________ as Instrument No. _________________, in the

Office of the County Recorder of ___________________________ County, California.

Dated: ___________________________

___________________________________________

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the

document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

STATE OF CALIFORNIA

)

) SS.

COUNTY OF _____________________________ )

On ________________________ before me, ______________________________________, Notary Public, personal ly

appeared _______________________________________________________________________________________,

who proved to me on the basis of satisfactory evidence) to be the person(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 authorized capacity(ies),

and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)

acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and

correct.

WITNESS my hand and official seal.

Signature_________________________________________

FOR NOTARY STAMP

Revocation Of Power Of Attorney Form - State Of California