Revocation of Power of Attorney
This Revocation of Power of Attorney is executed in accordance with the laws of the State of [State Name]. This document serves to formally revoke any previously granted Power of Attorney, effective immediately upon execution.
1. Principal Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: _____________________
2. Agent Information:
- Name: _______________________________
- Address: _____________________________
- City, State, Zip: _____________________
3. Revocation Statement:
I, [Principal's Name], hereby revoke the Power of Attorney granted to [Agent's Name] on [Date of Original Power of Attorney]. This revocation applies to all powers and authority previously granted.
4. Effective Date:
This revocation is effective as of the date signed below.
5. Signature:
_______________________________
Signature of Principal
6. Date:
_______________________________
Date
7. Witnesses (if required by state law):
Witness 1: _______________________________
Witness 2: _______________________________
By signing this document, I affirm that I am of sound mind and not under duress.