Free Printable Florida Power of Attorney Revocation Form
This Form can be used to Terminate an Active Power Of Attorney Form. Download The Form Print it and Fill it completely and Hand over to all the Financial Institutions as well as all the Parties Involved.
Text Version Of This Form
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Notice of Revocation of Power of Attorney
I, ____________________ [your name] , of ____________________ [your city and state] ,
revoke the power of attorney dated ____________________, empowering
____________________ ____________________ [name of your attorney-in-fact] to act as my
attorney-in-fact. I revoke and withdraw all power and authority granted under that power of
[if applicable:] That power of attorney was recorded on ____________________ in Book
________, at Page ________, of the Official Records, County of ____________________, State
Signed: This ______________ day of _____________, _____________.
State of: _________________ County of: __________________
Signature: ______________________________________, Principal
Social Security number: ___________
Certificate of Acknowledgment of Notary Public
State of Florida
County of _____________________________
On _____________________, before me, ______________________________, a notary public
in and for said state, personally appeared ___________________ ________________________,
personally known to me (or proved to me on the basis of identification produced) to be the
person whose name is subscribed to the within instrument, and acknowledged to me that he or
she executed the same in his or her authorized capacity and that by his or her signature on the
instrument, the person, or the entity upon behalf of which the person acted, executed the
WITNESS my hand and official seal.
Notary Public for the State of Florida
My commission expires __________________
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