Revocation of Power of Attorney
This document serves to officially revoke any prior granted Power of Attorney executed by me, [Your Name], residing at [Your Address], in the state of [State Name].
I hereby declare that any Powers of Attorney previously granted on [Date of Original Power of Attorney] is no longer in effect as of [Date of Revocation].
The following individual(s) no longer hold any powers to act on my behalf:
This revocation is intended to inform any third parties that the named individual(s) can no longer represent or act for me. This document supersedes all prior authorizations related to the Power of Attorney.
To ensure clarity, I request that all concerned parties acknowledge the revocation of power granted to the above-referenced agent(s). Please update your records accordingly.
Signed this ____ day of __________, 20__.
______________________________
[Your Signature]
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[Witness Name]
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[Witness Signature]