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Fill and Sign the Provisional Custody by Mandate State of Louisiana Parish of Form

Fill and Sign the Provisional Custody by Mandate State of Louisiana Parish of Form

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REVOCATION OF PROVISIONAL CUSTODY BY MANDATE I, ___________________________________________________________________________, Declarant, having executed a Provisional Custody by Mandate on the ________ day of _________________________________________, 20____, naming _____________________ _____________________________________________________ my agent, do hereby revoke that Provisional Custody by Mandate. This is my written revocation of the above referenced Provisional Custod y by Mandate and I am providing a copy of it to my Agent. DATED this the _________ day of ______________________________, 20____. Signature of Declarant: __________________________________________________________ Printed Name of Declarant: _______________________________________________________ Address of Declarant: ___________________________________________________________

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