(To
download a document, simply "Save As" from your File menu, and open in
your browser's text editor, or Microsoft Word if file type is .html. Now,
just fill-in your information and print.) Please use at your own
risk.
SAMPLE REVOCATION OF POWER OF ATTORNEY I, [list name of person revoking power of attorney - the
"principal"], of [list address of
principal], do hereby revoke the Power of Attorney dated [list date power of attorney was authorized], and
recorded [list place and date power of attorney was
recorded, e.g. February 12, 1990, at 12:00 am, in volume 2022, page 302, San
Diego County Registry of Deeds, San Diego, California], that was
granted to [list name of person given power of attorney -
the "agent"], of [list address of
agent], and withdraw every power and authority conferred therein.
This instrument shall serve as notice to [list name of person given power of attorney] and to
all interested persons that the above Power of Attorney hereby is null and void
and of no further force or effect.
IN WITNESS WHEREOF, this instrument is executed under seal on
the __________ day of_________________, 20_____.
Signed, sealed and delivered
in the presence of:
______________________________ ____________________________(Seal)
(Signature of witness) [list name of person revoking power of attorney]
______________________________
(Signature of witness)
STATE OF _____________________
COUNTY OF ____________________
In _______________, on the _____________ day of ____________, 20___,
before me, a Notary Public in and for the above state and county, personally
appeared [list name of person revoking power of
attorney], known to me or proved to be the person named in and who
executed the foregoing instrument, and being first duly sworn, such person
acknowledged that he or she executed said instrument for the purposes therein
contained as his or her free and voluntary act and deed.
_______________________________
NOTARY PUBLIC
My Commission Expires: ________
(SEAL)
After recording, return to:_____________________________________
____________________________________________________________________.
|
