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Fill and Sign the Power Attorney Form 481379403

Fill and Sign the Power Attorney Form 481379403

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Open the document and fill out all its fields.
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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 rev oked 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 General Durable Power of Attorney and I am providing a copy of it to my attorney- in-fact/Agent. DATED this the _________ day of ______________________________, 20____. _____________________________________ ___________________________________________ Witness Declarant Print Name: ___________________________ _____________________________________ Witness Print Name: ___________________________ Name of Declarant: __________________________________________________________ Printed Name of Declarant: _______________________________________________________ Address of Declarant: ___________________________________________________________

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The best way to complete and sign your power attorney form 481379403

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