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Fill and Sign the Revocation of Power of Attorney for Care of Child or Provisional Custody by Mandate Louisiana Form

Fill and Sign the Revocation of Power of Attorney for Care of Child or Provisional Custody by Mandate Louisiana 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 Custody 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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