Fill and Sign the Durable Power Attorney Form Az

REVOCATION OF POWER OF ATTORNEY I, ___________________________________________________________________, Declarant, having executed a General Durable Power of Attorney on the ________ day of ________________________, 20____, naming _______________________________________ _________________ __________________ my attorney -in-fact/agent, do hereby revoke that Power of Attorney pursuant to its explicit provision that it may be revoked by me by written instrument signed by me and delivered to my attorney -in-fact/Agent. This is my written revoc ation of the above referenced General Durable Power of Attorney and I am providing a copy of it to my attorney -in-fact/Agent. I, ________________________________________________________________________, the principal, sign my name to this Revocation on th is _____ day of _______________________ , 20____, and, being first duly sworn, do declare to the undersigned authority that I sign and execute this instrument as my Revocation and that I sign it willingly, that I execute it as my free and voluntary act for the purposes expressed therein and that I am eighteen years of age or older, of sound mind and under no constraint or undue influence. ________________________________________ Principal I, _______________________________________, the witness, sign my n ame to the foregoing Revocation being first duly sworn and do declare to the undersigned authority that the principal signs and executes this instrument as his/her revocation and that he/she signs it willingly, and that I, in the presence and hearing of th e principal, sign this Revocation as witness to the principal's signing and that to the best of my knowledge the principal is eighteen years of age or older, of sound mind and under no constraint or undue influence. _______________________________________ _ Witness State of Arizona County of ____________________ Subscribed, sworn to and acknowledged before me by _________________________________, the principal, and subscribed and sworn to before me by ________________________________, witness, this ____ _ day of ___________________________. ________________________________________ Notary Public SEAL Address of Declarant: ___________________________________________________________