Notice of Revocation of Power of Attorney


More Info
									This a notice sent by a principal to an agent revoking the power of attorney that was
previously granted. In order for the notice to be valid, the principal must be of sound
mind when executing the notice. The original power of attorney agreement can be
attached under “Exhibit A” of this document. In many states, the revocation of power of
attorney must be in writing and this document satisfies that requirement. Additionally,
the notice must be notarized by a notary public to ensure the proper identification of the
parties. This document should be used by individual or entities that want to revoke a
power of attorney.
I, ____________________, of ___________________, [Instruction: Insert address] by
written instrument dated ___________________, _____, appointed
_________________________ [Instruction: Insert name of individual previously
appointed as Attorney] of _______________, [Instruction: Insert address] as 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
__________________________ [Instruction: Insert name of individual previously
appointed as Attorney].

Dated: __________________, ____

[NAME] [Instruction: Insert name of person who will sign this Notice of Revocation]

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: _________

NOTE: 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.

© Copyright 2013 Docstoc Inc.                                                       2

To top