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Fill and Sign the Mn Revocation 497312806 Form

Fill and Sign the Mn Revocation 497312806 Form

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REVOCATION OF STATUTORY POWER OF ATTORNEY I,       , Declarant, having executed a Statutory 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 revocation of the above referenced Statutory Power of Attorney and I am providing a copy of it to my attorney-in-fact/Agent. DATED this the       day of       , 20       . Signature of Declarant: __________________________________________________________ Printed Name of Declarant:       Address of Declarant:      

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