Set up a
HE FORM below is provided as an educational example of a limited power of attorney form. In most cases, this form will not be legal in your location. But this will give you an idea of the content of a typical form. The form you use should be obtained locally from appropriate sources.
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: