Notice of Revocation of Power of Attorney

Notice of Revocation of Power of Attorney :

I, _____________________ of ____________________ by written instrument dated ___________________ appointed _________________ of ____________ my attorney in fact for the purposes and with powers therein set forth, a copy of which is attached hereto as Exhibit A.

Notice is hereby given that I have revoked, and do hereby revoke, the above-described power of attorney, and all power and authority thereby given, or intended to be given, to ___________________________.

Dated ____________.


STATE OF ___________________

COUNTY OF __________________

BEFORE ME, the undersigned authority, on this __ day of _______ personally appeared _____________________ to me well known to be the person described in and who signed the Foregoing, and acknowledged to me that he executed the same freely and voluntarily for the uses and purposes therein expressed.

WITNESS my hand and official seal the date aforesaid.



My Commission Expires :_____


The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.

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