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This form is provided here as an example only and does not constitute legal advice. Consult properly authorized professionals in your community to obtain the correct form for the legal jurisdiction where you live.
Revocation of Powers of Attorney
KNOWN ALL PERSONS BY THESE PRESENTS, that I, the undersigned,
_____________________________________ do hereby revoke and make
void any and all Powers of Attorney signed by me before this
____ day of ________________ _____ , whereby I did appoint
________________________________, last known address of
____________________________________________________
BE IT FURTHER KNOWN: That by this act of revocation all persons
concerned are hereby notified that said __________________________
is no longer my attorney-in-fact or agent in any matter, and is
henceforth no longer authorized to perform any act or deed, of any
nature whatsoever on my behalf.
_________________________________________
SIGNATURE
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this _______ day of _______________________, 20____.
Signed, sealed and delivered in the presence of:
_____________________________ _____________________________
Witness
_____________________________
Witness
State of _____________ )
) ss.
County of ____________ )
The foregoing instrument was acknowledged by me this ______
day of _____________, 20 ____ by:_______________________________
who is/are personally known by me or who has/have produced:_____
______________________ as identification and who did not take an
oath.
________________________________ (SEAL)
Notary Public
State of
My Commission Expires:
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