REVOCATION OF POWER OF ATTORNEY
It is hereby particularly stated that the ‘Power of Attorney’ executed by [Primary] by which the undersigned [Primary] comprises [attorney] attorney-in-fact for the purposes set forth in the said ‘Power of Attorney’, is hereby wholly repealed, canceled and void.
State of [state name], County of [County name]:
I, __________________________________, do hereby confirm that on this
______ day of ________, __________, appeared before me in person
known to be the person(s) who executed the preceding document.
Notary Public in and for the State of _________________.
My commission expires _______________.