Revocation Of Power Of Attorney printable pdf download

REVOCATION OF POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I,

, Social Security Number __________________________,

currently residing at _____________________________________________________________, do hereby

absolutely revoke, cancel, countermand, annul and make void a certain Power of Attorney dated:

_____________________________, 20____, heretofore executed by me, wherein and whereby I did appoint

____________________________________________, for the purpose in said power of attorney set forth.

IN WITNESS WHEREOF, I have hereunto set my hand and seal on this

day of

20_____. (today’s date)

______________________________________

Signature

ACKNOWLEGEMENT

With the United States Armed Forces

On this the _______ day of _____________________, 20_____, before the undersigned officer, personally appeared

_______________________________, satisfactorily proven to be (a) serving in or retired from the Armed Forces of the United

States, or (b) a lawful dependent of a person serving in or retired from the Armed Forces of the United States, or (c) a person

serving with, employed by, or accompanying the Armed Forces of the United States outside the United States and outside the

Canal Zone, Puerto Rico, Guam, and the Virgin Islands, and to be the person whose name is subscribed to the within instrument

and acknowledged that he or she executed the same. And the undersigned does further certify that he or she is at the date of this

certificate an officer of the Armed Forces of the United States having the general powers of a notary public under the provisions of

Section 936 or 1044a of Title 10 of the United States Code (Public Law 90-632 and 101-510).

AUTHORIZED TO ACT AS A NOTARY

_______________________________

PUBLIC UNDER THE PROVISIONS OF

Signature of Notary

SECTION 1044a OF TITLE 10 OF THE

UNITED STATES CODE AND SECTION

Name of Officer and Position:

1183.5 OF THE CALIFORNIA CIVIL

Grade and Branch of Service:

CODE. NO SEAL REQUIRED BY LAW.

Command or Organization:

Revocation Of Power Of Attorney