Revocation of Power of Attorney
This document serves to revoke the power of attorney previously granted to the person named below under the laws of the state of [State Name].
Principal's Information:
- Name: _________________________________
- Address: _______________________________
- City, State, Zip: _______________________
Agent's Information:
- Name: _________________________________
- Address: _______________________________
- City, State, Zip: _______________________
As of the date signed below, I, the undersigned Principal, do hereby revoke any and all previous powers of attorney granted to the Agent named above. This revocation is effective immediately and applies to all specific powers previously granted.
This notice will be communicated to the Agent and any third parties that may have been relying on the prior power of attorney.
Effective Date: ______________________
Signature of Principal: ______________________________________
Date: _________________________________
Witnessed by:
- Name: _________________________________
- Signature: _____________________________
- Date: _________________________________
This revocation is to be retained by the Principal and may be provided to relevant institutions or individuals as needed to ensure clear communication of this decision.