Revocation of Power of Attorney
This Revocation of Power of Attorney is executed this ____ day of __________, 20__, in the state of __________.
By this document, I, [Your Full Name], residing at [Your Address], hereby revoke and annul any and all Power of Attorney documents previously executed by me on the date of __________, granting authority to [Agent's Full Name], whose address is [Agent's Address].
This revocation is made in accordance with state laws governing the termination of a Power of Attorney, specifically under the terms outlined in [Relevant State Law].
The following are the specific details of the previously granted Power of Attorney:
- Date of Original Power of Attorney: __________
- Agent's Name: __________
- Agent's Address: __________
This Revocation shall be effective immediately upon being signed and delivered to the above-named Agent and any relevant third parties.
In witness whereof, I have signed this Revocation of Power of Attorney as of the day and year first above written:
______________________________
[Your Full Name]
Witnesses:
- ______________________________
Name: ________________________
- ______________________________
Name: ________________________
Notarization (if applicable):
State of __________,
County of __________.
Subscribed and sworn to before me this ____ day of __________, 20__.
______________________________
Notary Public
My Commission Expires: __________