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Free 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.


Florida Power of Attorney Revocation

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
of ____________________.

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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