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Revoke Power of Attorney Document

Printable Power of Attorney Revocation form for dissolving a Power of Attorney Agreement.











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Printable Power of Attorney Revocation Form

Word   PDF  

Notice of Power of Attorney Revocation Form


Effective Date ____/____/______

I, do hereby [Legal Name], AKA [Name]

A resident of [City][State]

Located at [Address]

[City], [State] [Zip Code]

Do Hereby Appoint [Legal Name]

A resident of [City][State]

Located at [Address]

[City], [State] [Zip Code]

As my attorney-in-fact for the purposes and powers as set forth in the attached Exhibit “Power of Attorney”.

Notice is hereby given that I have revoked the above mentioned attached Power of Attorney, and all the power and authority thereby granted or intended to be granted to my appointed attorney-in fact as stated above.

Applicable Law


This contract shall be governed by the laws of the State of __________ in __________ County and any applicable Federal Law.


____________________________________ Date____________
Signature of Principle


WITNESS #1) _________________________________


WITNESS #2) _________________________________










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