Revocation of Durable Power of Attorney
REVOCATION OF DURABLE POWER OF ATTORNEY
PLEAST TAKE NOTICE that on the day of ,
did duly make and appoint
PLEASE TAKE FURTHER NOTICE that
has revoked, voided and annulled the said Durable Power of Attorney and all powers and
authority given to are hereby voided and annulled.
IN WITNESS WHEREOF, hereto set forth
this day of
________________________________
(insert name and address of donor of Power)
(insert name and address of donee of Power)
(insert name of donor of Power)
(insert name of donee of Power)
(insert name of donor of Power) (has) (have)
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