Hawaii Revocation of Power of Attorney - Care and Custody of Children

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Hawaii Revocation of Power of Attorney - Care and Custody of Children Powered By Docstoc
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                             This Revocation of Power of Attorney is used to revoke a power of attorney for care and
                             custody of children previously executed by a individual. A power of attorney appoints an
                             agent to act on behalf of an principal for some specified purpose, such as to take care of
                             the principal's children. This document effectively revokes the authority granted to the
                             agent and complies with state laws that require the revocation to be in a signed written
                             instrument and delivered to the agent. This should be utilized by a principal located in
                             Hawaii to revoke a power of attorney for the care and custody of children.
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                        REVOCATION OF POWER OF ATTORNEY
                     CARE AND CUSTODY OF CHILD OR CHILDREN




I, ______________________ [Instruction: Insert the name of the principal], of
_______________ [Instruction: Insert the address of the principal ], City of
_________________ [Instruction: Insert the City], County of _______________________
[Instruction: Insert the County], State of Hawaii, executed a Power of Attorney: Care and
Custody of Child (ren) for the child (ern) listed below:


NAME                                                       AGE                  SEX
1. ____________________________                        ____________             M/F
2. ____________________________                        ____________             M/F
3. ____________________________                        ____________             M/F


On the ______ [Month] __ [Date], 20____, to __________________________ [Instruction:
Insert the name of attorney-in-fact/agent] my attorney-in-fact/agent, to act in my behalf as a
Child Caregiver, hereby revoke that Power of Attorney in accordance with Title 30, Chapter
551D, Section 4 of 2009 Hawaii Code by written revocation signed and dated by me. And
pursuant to its explicit provision that it may be revoked by me by written instrument signed by
me and delivered to my attorney-in-fact/agent.
This is my written revocation of the above referenced Power of Attorney and I am providing a
copy of it to my attorney-in-fact/agent.


Signature of Principal                 : ______________________________________________


Printed Name of Principal              : ______________________________________________


I, at the request and in the presence of _________________ [Instruction: Insert the name of
the Principal] have subscribed my name below as witness. I declare that I am of sound mind
and of 19 years of age or older and hereby confirm Principals expression to revoke the



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_______________ [Instruction: Choose the appropriate - General or Durable] Power of
Attorney. To the best of my knowledge the Principal is of the age of majority, or is otherwise
legally competent to revoke a Power of Attorney, and appears of sound mind and under no undue
influence or constraint. Under penalty of perjury, I declare these statements are true and correct
on this ________ day of ____________________, 20______.




Witness Signature #1                   : _____________________________________________


Name                                   : _____________________________________________


Address                                : _____________________________________________


[Instruction: The witness must be of 19 years of age or older].




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Description: This Revocation of Power of Attorney is used to revoke a power of attorney for care and custody of children previously executed by a individual. A power of attorney appoints an agent to act on behalf of an principal for some specified purpose, such as to take care of the principal's children. This document effectively revokes the authority granted to the agent and complies with state laws that require the revocation to be in a signed written instrument and delivered to the agent. This should be utilized by a principal located in Hawaii to revoke a power of attorney for the care and custody of children.
This document is also part of a package Essential Hawaii Legal Documents 142 Documents Included