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Fill and Sign the Power of Attorney Pbgc Form 715 Pension Benefit Guaranty

Fill and Sign the Power of Attorney Pbgc Form 715 Pension Benefit Guaranty

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NOTICE OF REVOCATION OF DURABLE POWER OF ATTORNEY WHEREAS, I as Maker, created a Durable Power of Attorney by a written instrument: Maker________________________________________________ Date Made:__________________ Address_______________________________________________ _____________________________________________________ City/County/State/Zip WHEREAS, I, as Maker, appointed Appointee to serve as my Agent and to exe rcise the powers set forth in the said instrument: Appointee_____________________________________________ Address_______________________________________________ _____________________________________________________ City/County/State/Zip WHEREAS, pursuant to the terms of the said instrument, I reserved unto myself the exclusive right to amend or revoke at any time the powers created thereunder, including the power to remove my Agent, without the consent of my Agent; NOW THEREFORE, pursuant to the aforesaid right of revocation, I do hereby revoke in its entirety the said Durable Power of Attorney created by me. IN WITNESS WHEREOF, I have hereunto set my hand and seal this _____ day of __________________________, 20____. _____________________________________________ Maker _____________________________________________ Attest

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