Revocation Of Power Of Attorney
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1REVOCATION OF POWER OF ATTORNEY
(M
)
ICHIGAN
Reference
is
hereby
made
to
that
certain
power
of
attorney
granted
by
__________________________________________________________, [insert your full name] the Principal, to
__________________________________________, [insert full name of attorney] the Attorney-in-Fact, and
dated the _____ day of ______________, _______.
This document constitutes notice that the Principal hereby revokes, rescinds and terminates the said
power of attorney and all authority, rights and power thereunder.
DATED at ____________________, State of Michigan this _____ day of ______________, _______.
Signature of Principal
Acknowledgment
State of Michigan
)
County of ___________________________
)
Before me, a notary public in and for said County and State, personally appeared the above-named who
acknowledged that he/she did sign the foregoing instrument and that the same is his/her free and
voluntary act and deed.
(SEAL)
Notary Public
My Commission expires:
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