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- #1150
- @001 Please enter the name of the person revoking:
- @115 State the date of the power of attorney being revoked:
- @116 State the name of the attorney in the power being revoked:
- #end control section
- #1150
- /* Para. 1150: revocation of POA; Permanent or temporary */
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- REVOCATION OF POWER OF ATTORNEY
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- I, @001, herewith:
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- revoke that certain power of attorney, dated @115, naming @116 as
- my attorney in fact.
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- Dated: __________________________
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- ____________________________________________
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- @001
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- Witnesses:
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- ____________________________________________
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- ___________________________________________
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