Power of Attorney Revocation

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					                             Power of Attorney, Revocation
I, _______________ (“Declarant”), of _____________________________ (Address), through my
Power of Attorney dated __________________ (“Power of Attorney”) made and appointed
________________, my true and lawful attorney in fact for the purposes, and with the powers set
forth in the document.

I hereby give notice that I have revoked and canceled, and hereby do revoke and cancel, the Power
of Attorney, and all powers and authority given, provided or implied therein to in that Power of
Attorney.

In witness of this act, I have signed this Notice of Revocation of Power of Attorney on _________
(Date).


_______________________
Revoker of Power of Attorney

On this _____________ (Date), before me, personally appeared known to be the person described
in and who executed the foregoing instrument and acknowledged to me that                 they
executed the same as their free act and deed.

__________________
Notary Public
Commission Expires on:
                              Power of Attorney, Revocation
                             
				
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posted:8/2/2012
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Description: Power of Attorney Revocation
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