Revocation Of Power Of Attorney

First Name *

Last Name *

Email *

Phone *

Frequently Asked Questions:

The person who gives or revokes authority can be referred to as a donor, grantor, granter, or principal.
The Attorney-in-fact is the person you entrusted with powers under your previous power of attorney.
When should I include a witness certificate?
Can I still revoke my Power of Attorney if I become incompetent?
An ordinary power of attorney is automatically revoked if the person who made it is ound to be incompetent, but a durable/enduring power of attorney can only be revoked by the person who made it while that person is mentally competent.

Section 1: Reason for Revocation Why are you revoking your Power of Attorney? *

To change my agent:

I no longer need it:

Other reason:

Section 1: Reason for Revocation If Other Reason:

Section 2: Your Details

Gender: *

Address *(Street, City, State ZIP Code)

Section 3: Attorney-in-fact Details

The Attorney-in-fact is the person you entrusted with powers under your previous power of

attorney.

First Attorney-in-fact Details

Full Name:
Address:(Street, City, State ZIP Code)
Remove? Yes/No:

Second Attorney-in-fact Details (if applicable)

Full Name:
Address: (Street, City, State ZIP Code)
Remove? Yes/No:

Section 4: Power of Attorney Details When did you sign your power of attorney? *

Section 5: Signing Details of Revocation Who will witness your revocation? *

Witness Only

Notary Only

Both Notary and Witnesses

Where will the document be signed? *

City/Town:
State:
County:

Would you like to include a witness certificate acknowledging the mental capacity of the principal? *

Agreement to be signed: Revocation Of Power Of Attorny *Please review all your details and mark the checkboxes as appropriate. Once completed, submit this form according to the provided submission instructions.

Revocation Of Power Of Attorney Signature Date: *

Revocation Of Power Of Attorney Signature: *

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