Revocation of Power of Attorney
This Revocation of Power of Attorney form serves to officially revoke any previously granted Power of Attorney. This document is binding and effective immediately upon execution, as governed by the laws of [State Name].
To be valid, this document should be signed and dated by the principal. Ensure that copies are provided to all relevant parties who held or will hold the original Power of Attorney.
Principal's Information
- Full Name: ________________________________
- Address: ________________________________
- City, State, Zip Code: ________________________________
- Email Address: ________________________________
- Phone Number: ________________________________
Revocation Statement
I, [Full Name], being of sound mind, hereby revoke any and all Powers of Attorney previously granted by me to [Attorney-in-Fact's Full Name] of [Address of Attorney-in-Fact], effective immediately.
I declare that this revocation includes, but is not limited to:
- Any decisions regarding my financial affairs;
- Any medical decisions on my behalf;
- Any matters that were previously authorized.
All parties concerned are notified of this revocation. Please understand that any acts performed by the Attorney-in-Fact under the authority of the previously granted Power of Attorney are no longer valid or enforceable.
Signature
Signed this ______ day of __________, 20___.
Principal's Signature: ________________________________
Witness or Notary Information (if required by state law)
- Name of Witness/Notary: ________________________________
- Signature of Witness/Notary: ________________________________
- Date: ________________________________
This document may need to be filed or recorded in certain jurisdictions. Please check with your local laws to ensure compliance.