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Revocation of power of attorney template (US)

A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.

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Preview — US standard

Revocation of Power of Attorney

I, Principal Full Name, of Principal Address, revoke the power of attorney I signed on Date of Original Power of Attorney, which appointed Agent Full Name, of Agent Address, as my agent (attorney-in-fact).

Recording of the original power of attorney: Recording County, Date and Document Number, or Not Recorded.

Effect

This revocation takes effect on Effective Date. From that date, the agent has no authority to act for me under that power of attorney. Anything the agent properly did before learning of this revocation is not affected, to the extent state law provides.

I also revoke any copies of that power of attorney. Other Powers of Attorney Revoked, or None

Notice

I am sending a copy of this revocation to the agent and to these banks, institutions and other people who may have relied on the power of attorney: Institutions and People Notified.

If the original power of attorney was recorded with a county recorder, I will record this revocation with the same office.

I declare that I am of sound mind and sign this revocation voluntarily.

Principal signature: Principal Signature

Date: Signing Date

Notary Acknowledgment

State of State

County of County

On Notarization Date, before me, Notary Name, personally appeared Principal Full Name, proved to me on the basis of satisfactory evidence to be the person whose name is signed above, who acknowledged signing this instrument. The certificate required by the state where this is signed may be attached in place of this one.

Notary signature: Notary Signature

My commission expires: Commission Expiration Date

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