Proxy Revocation

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Date

{{date}}

To Whom It May Concern

Subject: Revocation of Proxy

Details of Proxy Being Revoked

I, {{principal_name}}, with identity number {{principal_id_number}}, residing at {{principal_address}}, hereby formally revoke the proxy previously granted to {{proxy_name}}, with identity number {{proxy_id_number}}, residing at {{proxy_address}}.

Date of Original Proxy Grant

This revocation pertains to the proxy granted on or about {{original_proxy_date}}.

Reason for Revocation (Optional)

The reason for this revocation is: {{reason_for_revocation}}.

Effectiveness of Revocation

This revocation is effective immediately upon the date stated above. All authority previously conferred upon {{proxy_name}} to act on my behalf, including but not limited to attending meetings, voting on resolutions, and making decisions, is hereby withdrawn.

Acknowledgment and Notice

Please take note of this revocation and ensure that {{proxy_name}} is no longer permitted to represent my interests in any capacity related to the aforementioned proxy engagement. I confirm that I will personally attend to any future matters or appoint an alternative representative as I deem fit.

Governing Law

This Revocation of Proxy shall be governed by and construed in accordance with the laws of {{country_of_governance}}.

Signature

_____________________________

{{principal_name}}

Date: {{signature_date}}