Revocation Of Power Of Attorney

Revocation of power of attorney.

I, Please enter the name of the person revoking, herewith:

revoke that certain power of attorney, dated State the date of the power of attorney being revoked, naming State the name of the attorney in the power being revoked as my attorney in fact.

Dated: __________________________

____________________________________________

Please enter the name of the person revoking

Witnesses:

____________________________________________

___________________________________________

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