Name: Power of Attorney Form Mn: Pre-built template | airSlate SignNow
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FORM No. 121-M – Uniform Conveyancing Blanks REVOCATION OF POWER OF ATTORNEY (reserved for recording data) REVOCATION OF POWER OF ATTORNEY The undersigned hereby revokes the Power of Attorney dated ____________________, 20_____, from _______ ____________, as Grantor and Principal, to ________________________, as Attorney- in-Fact, relating to real property in ___________________ County, Minnesota, legally described as follows: (If more space is needed, continue on back) If fled for record, the Power of Attorney was fled __________________, 20_____, as Document Number ___ __________ (or in Book ______ of _________ Page _______), in the Ofce of the (County Recorder) (Registrar of Titles) of _________________ County, Minnesota. ______________________________________________ STATE OF MINNESOTA ) ) ss. COUNTY OF _____________ ) The foregoing instrument was acknowledged before me this _______ day of ____________________, 20_____, by ________________________. ___________________________________________________ SIGNATURE OF NOTARY PUBLIC OR OTHER OFFICIAL THIS INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS): NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK): Note: This instrument should be recorded in the ofce of the County Recorder or the Registrar of Titles in the County where the real property is situated. See. Minn. Stat. 1 FORM No. 121-M – Uniform Conveyancing Blanks Sec. 523.11, subd. 2. 2

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Select +Create to upload a file from your device, cloud, or our template library.
Open your ‘Minnesota Power Attorney’ in the editor.
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Add and assign fillable fields for others (if necessary).
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