Revocation of Power of Attorney
This document serves to officially revoke the Power of Attorney previously granted.
By this revocation, I, [Your Full Name], residing at [Your Address], hereby revoke any and all Powers of Attorney previously signed by me on [Date of Original Power of Attorney].
The attorney-in-fact, whom I had designated under that document, was:
- [Attorney-in-Fact's Full Name]
- Residing at [Attorney-in-Fact's Address]
This revocation is executed under the authority granted to me by the laws of the state of [State Name]. I understand and acknowledge that this revocation will become effective immediately upon its execution and that any Power of Attorney previously executed is no longer valid.
All interested parties, including banks, health institutions, and other relevant entities, are instructed to disregard any prior documents pertaining to the Power of Attorney.
This revocation was signed on the [Date] by:
Signed in the presence of witnesses:
- [Witness 1 Full Name] - Signature: ____________________
- [Witness 2 Full Name] - Signature: ____________________
Notary Public:
State of [State Name]
County of [County Name]
Subscribed and sworn to before me this [Date].
Notary Public Signature: ____________________
My commission expires: [Date]