The revocation of power of attorney form is used to terminate the authority given to the other person (attorney-in-fact) in the original document.
REASONS TO REVOKE A POWER OF ATTORNEY:
INSTRUCTIONS TO FILL A P.O.A. REVOCATION:
A copy of the revocation should be given to the person (Agent or Attorney-in-Fact) as soon as possible.
Copies should be provided to any party with whom the Agent may have had dealings before the revocation.
Copies should be given to any party with whom the Agent may be expected to deal with after the revocation.
Have any third party sign the revocation and keep one copy for your records. If that is not possible, mail the revocation by first-class mail with a signed return receipt request to verify delivery.
THE P.O.A. REVOCATION DOCUMENT SHOULD CONTAIN:
REVOCATION OF POWER OF ATTORNEY
I, _________________________, (Principal's name) address: ______________________ do revoke the power of attorney dated: _________________, _____ 20_____, which was given to _______________________________, (Attorney-in-Fact) address: _______________________________________ to act in my behalf as my true and lawful attorney in order to handle my affairs.
This revocation is dated: _____________________, _____ 20_____.
Signature of Person Revoking the Power of Attorney
1- _____________________________ of _________________________________(address)
2- _____________________________ of _________________________________(address)
On _____________________, _____ 20_____, ____________________________ (Person Revoking POA) personally appeared before me and, being dully sworn, did state that he/she is the person mentioned in this document and that he/she signed this document in my presence.
My commission expires: _____/_____/20_____
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