Simple Revocation of Power of Attorney Form

Affidavit of Attestation of an Instrument
Form 31
Land Titles Act
Sections 155 and 156
I,
of
in the
make oath and say:
1. I was personally present and did see
who is (are) known to me to be the person(s) named in the within instrument, duly sign the instrument;
OR
I was personally present and did see
who, on the basis of the identification provided to me, I believe to be the person(s) named in the within instrument, duly
sign the instrument;
2.
The instru ment was signed at
, in the
and I am subscribing witness thereto;
3.
I believe the person(s) whose signature I witnessed is (are) at least eighteen (18) y ears of age.
SWORN before me at
in the
this
day of
,
(A Com mi ssion er, E tc. (or as the case may be))
(Witn ess Sign Here)
(Print or Stamp Name of Commissi o ner )
(Expiry Date of Co mm i ssion or Office)
Page 2/2
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Simple Revocation of Power of Attorney Form PDF

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