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THE FORM below is provided as an educational example of a limited power of attorney form. In most cases, this form will not be legal in your location. But this will give you an idea of the content of a typical form. The form you use should be obtained locally from appropriate sources.

This form is provided here as an example only and does not constitute legal advice. Consult properly authorized professionals in your community to obtain the correct form for the legal jurisdiction where you live.

                  Revocation of Powers of Attorney

KNOWN ALL PERSONS BY THESE PRESENTS, that I, the undersigned, 
_____________________________________ do hereby revoke and make 
void any and all Powers of Attorney signed by me before this
____ day of ________________ _____ , whereby I did appoint 
________________________________, last known address of

BE IT FURTHER KNOWN: That by this act of revocation all persons 
concerned are hereby notified that said __________________________ 
is no longer my attorney-in-fact or agent in any matter, and is 
henceforth no longer authorized to perform any act or deed, of any 
nature whatsoever on my behalf. 


IN WITNESS WHEREOF, I have hereunto set my hand and seal
this _______ day of _______________________, 20____. 

Signed, sealed and delivered in the presence of: 

_____________________________      _____________________________


State of _____________ )
                       ) ss.
County of ____________ )

The foregoing instrument was acknowledged by me this ______ 
day of _____________, 20 ____ by:_______________________________
who is/are personally known by me or who has/have produced:_____
______________________ as identification and who did not take an 

                         ________________________________ (SEAL)
                         Notary Public 
                         State of
My Commission Expires:

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