Letterhead
{{company_name}}
{{company_address}}
Phone: {{company_phone}}
Email: {{company_email}}
Website: {{company_website}}
Date
{{date}}
To Whom It May Concern
This serves as a formal notification regarding the revocation of a Power of Attorney.
Revocation of Power of Attorney
I, {{principal_name}}, residing at {{principal_address}}, being of sound mind and full legal capacity, hereby unequivocally revoke and terminate any and all Power of Attorney documents previously granted by me to {{agent_name}}, residing at {{agent_address}}.
The Power of Attorney being revoked was executed on or about {{date_of_original_poa}} and pertained to {{description_of_poa_scope}}.
Instructions to Agent
{{agent_name}} is hereby directed to immediately cease and desist from exercising any powers or authorities granted under the revoked Power of Attorney.
I demand that {{agent_name}} return to me all original copies of the Power of Attorney document and any other documents related to my affairs that are in their possession within {{number_of_days}} days of the date of this revocation.
Indemnification
I shall not be held liable for any actions, debts, or obligations incurred by {{agent_name}} after the effective date of this revocation, where such actions are purported to be on my behalf.
Governing Law
This Revocation of Power of Attorney shall be governed by and construed in accordance with the laws of {{country_name}}.
Witnesses (Optional)
Although not always legally required, it is advisable to have this revocation witnessed to further strengthen its legal standing, especially if the original Power of Attorney was witnessed.
Witness 1 Name: {{witness_1_name}}
Witness 1 Signature: _________________________ Date: _______________
Witness 2 Name: {{witness_2_name}}
Witness 2 Signature: _________________________ Date: _______________
Signature of Principal
Sincerely,
_________________________
{{principal_name}}
Date: {{signature_date}}
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