Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.

POWER OF ATTORNEY REVOCATION

Reference is made to certain power of attorney granted by ___________________________ (Grantor) to ______________________________(Attorney-in-Fact), and dated the _____ day of __________,20__ .

This document constitutes notice that the Grantor hereby revokes, rescinds and terminates said power-of-attorney and all authority, rights and power thereto effective this the _____ day of ____________, 20__.

_______________________________

Grantor

Acknowledged:

STATE OF )

COUNTY OF )

Subscribed and sworn before me this the _____ day of ____________, 20__.

WITNESS my hand and official seal.

______________________________ My commission expires:

Notary Public

Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.