Revocation of Power of Attorney
This Revocation of Power of Attorney is made pursuant to the laws of the State of __________.
Know all men by these presents, that I, [Your Full Name], residing at [Your Address] in the State of __________, do hereby revoke and annul any and all Powers of Attorney granted by me to [Attorney-in-Fact's Full Name], residing at [Attorney-in-Fact's Address], which was executed on [Date of Original POA].
This revocation shall become effective immediately upon its execution and delivery.
In furtherance of this revocation, I hereby declare that:
- The Power of Attorney previously granted is null and void.
- All powers and authority granted to the Attorney-in-Fact are terminated.
To ensure that this revocation is effective, I will deliver a copy of this document to all parties that had been relying on the Power of Attorney.
Executed this _____ day of ______________, 20__.
______________________________
[Your Signature]
[Your Printed Name]
Witnessed By:
______________________________
[Witness's Signature]
[Witness's Printed Name]
State of __________
County of __________
On this _____ day of ______________, 20__, before me, a Notary Public in and for said County and State, personally appeared [Your Full Name], known to me to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same.
______________________________
Notary Public
My Commission Expires: __________