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This form will notify all concerned parties that a power of attorney relationship has been ended or revoked. It must be notarized and witnessed in most states to be valid, and can be used in two situations:
Written by Nolo Law
November 2007, 6th Edition
The form below is a very basic one and has not been vetted by our attorneys nor updated to reflect changing laws. Chances are you will need something more comprehensive. Nolo.com provides much more professional forms.
POWER OF ATTORNEY REVOCATION
Reference is made to certain power of attorney granted by ___________________________ (Grantor) to ______________________________(Attorney-in-Fact), and dated the _____ day of __________,20__ .
This document constitutes notice that the Grantor hereby revokes, rescinds and terminates said power-of-attorney and all authority, rights and power thereto effective this the _____ day of ____________, 20__.
STATE OF )
COUNTY OF )
Subscribed and sworn before me this the _____ day of ____________, 20__.
WITNESS my hand and official seal.
______________________________ My commission expires:
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provided AS IS. They may not be any good. Even if they are good
in one jurisdiction, they may not work in another. And the facts
of your situation may make these forms inappropriate for you.
They are for informational purposes only, and you should consult
an attorney before using them.