This Revocation of Power of Attorney ("Revocation") is made on this ____ day of __________, 20__, by ____________________ (the "Principal"), who currently resides at ________________________________________________. This document serves as formal revocation of any and all powers of attorney granted previously, whether said powers of attorney are specific or general in nature, specifically including but not limited to the Power of Attorney executed on ____ day of __________, 20__, in favor of ____________________ (the "Agent").
In accordance with the relevant state laws to which this Revocation pertains, and more specifically to those states with explicit requirements for revoking powers of attorney, the Principal declares the intention to revoke, and hereby does revoke, the aforementioned Power of Attorney vested in the Agent. Consequently, from the date of executing this Revocation, the Agent shall no longer possess the authority previously granted to act on behalf of the Principal in any capacity.
The Principal acknowledges that third parties may require notice of this Revocation and undertakes to provide such notice as may be deemed necessary. It is recommended that this Revocation be filed or registered with the same entities or in the same manner as the original Power of Attorney, where applicable and especially in states with specific filing requirements.
The following individuals or entities should be promptly notified of this Revocation:
- Financial institutions where the Principal has accounts
- Legal entities involved in any ongoing matters on behalf of the Principal
- Any other third party who deals with the Agent under the authority of the revoked Power of Attorney
The effectiveness of this Revocation does not depend on the notification to the aforementioned parties, but such notification is essential to ensure that the Principal's affairs are managed according to the current wishes and authorization.
Fully understanding the implications of this action, the Principal hereby revokes the Power of Attorney granted to the Agent and requests all concerned to govern themselves accordingly.
Executed this ____ day of __________, 20__.
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Signature of Principal
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Print Name of Principal
Acknowledgment by Notary Public
State of ____________________
County of __________________
On this ____ day of __________, 20__, before me, ____________________ (name of notary), a Notary Public in and for said state, personally appeared ____________________ (name of principal), known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
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Notary Public
My commission expires: __________