Revocation of Power of Attorney
This document serves as a formal revocation of the Power of Attorney granted by the undersigned Principal. It effectively terminates all powers, rights, and authorities previously authorized to the Attorney-in-Fact named herein, in accordance with the laws governing the state in which this revocation is executed.
Principal Information:
- Full Name: ___________________________
- Address: _____________________________
- City: ________________________________
- State: _______________________________
- Zip Code: ____________________________
Attorney-in-Fact Information:
- Full Name: ___________________________
- Address: _____________________________
- City: ________________________________
- State: _______________________________
- Zip Code: ____________________________
Power of Attorney Details:
- Date of Execution: ___________________
- State of Execution: __________________
- Specific Powers Granted: ___________________________________________________________
By signing below, I, the undersigned Principal, hereby revoke, cancel, and annul all powers, duties, and authorities granted to the Attorney-in-Fact named above, effective immediately upon signing this document.
This Revocation of Power of Attorney is executed under the laws of the State of ____________, and is intended to be a comprehensive revocation of any and all Power of Attorney documents previously executed by me that grant powers to the Attorney-in-Fact named herein.
It is recommended that the Principal deliver or send a copy of this Revocation to the Attorney-in-Fact and any third parties who may have been relying on the Power of Attorney, such as financial institutions, to ensure that they are aware of its revocation.
Acknowledgment by Principal:
__________________________________
Signature of Principal
__________________________________
Printed Name of Principal
Date: _____________________________
State of ___________________________
County of __________________________
This document was acknowledged before me on ____________________ (date) by _________________________________ (name of Principal), who is personally known to me or who has produced _____________________________ (type of identification) as identification.
__________________________________
Signature of Notary Public
__________________________________
Printed Name of Notary Public
My Commission Expires: ______________