REVOCATION OF POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the [General or Special] Power of Attorney executed by [name of principal] and recorded in book , at page , of the records of County, State of , by by which the undersigned [name of principal] constituted [name of attorney] attorney for the purpose set forth in said Power of Attorney, is hereby wholly revoked, cancelled and annulled. Dated: ____________________________ NOTE: THIS FORM SHOULD NOTARIZED. FOR FORMAT SEE LETTERFORM 1000 INDEX UNDER NOTARY FORMS.