This Printable Business Form Template belongs to these categories: request
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Revocation of Power of Attorney
I, {name}, do hereby revoke the durable power of attorney granted to {name}, who is located at {address}. This power of attorney was executed on {date} in {location}.
This revocation is complete, and applies to any documents, actions, etc. executed after the date indicated below. This revocation shall not apply to
any documents, actions, etc. executed prior to the below date.
Signed:
_______________________ _______________________
Name Signature
Notary Seal:
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This Printable Business Form Template is available to download for free, or you can download the entire collection for only $199.
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