This required section identifies the prior power of attorney document(s) that the Grantor is revoking. Press [Ctrl+F1] for more information.
This required section provides a signature line for the Grantor, and the appropriate acknowledgement form for the Grantor's state.
This required section provides the name and address of the Agent who must receive a copy of this document before the Revocation can take effect. Press [Ctrl+F1] for more information.
This optional section (required in some states) provides the name and address of the person who prepared the document.
Times New Roman
Revocation of Power of Attorney
REVPOA
The Revocation of Power of Attorney enables the Grantor to revoke one or more power of attorney documents.
! !! !!!! !! !!!!!
Enter an X if any of the powers of attorney that are being revoked gave the Agent the power to handle real estate transactions involving property in Florida. Florida has specific requirements regarding the acknowledgement form that is used. The program will provide the appropriate form if this check box is marked.
Enter the Grantor's city or edit the information as desired.
Enter an X to include the Grantor's country, if outside the United States.
Enter the country or edit the information if desired.
Enter the Grantor's name or edit the information as desired. The Grantor is the person who is revoking the Power of Attorney. Use the P.I. Manager to select and paste a record. Press [Ctrl+F1] for more information.
Enter the state in which this document will be signed. The program will provide the appropriate acknowledgement form for the state that is entered here.
Enter an X to revoke just one particular power of attorney document.
Enter the Agent's name or use the P.I. Manager to select and paste a record. The Agent (Attorney-in-Fact) is the person or entity who was given the authority to act on the Grantor's behalf in the power of attorney that is being revoked.
Enter an X to revoke all prior power of attorney documents under a specific Agent.
Enter the Grantor's street address or edit the information as desired.
Enter the Grantor's extended street address or edit the information as desired.
Enter the Grantor's state/province or edit the information as desired.
Enter the Grantor's zip/postal code or edit the information as desired.
RPA01
! Revocation Section (1 of 4)
REVOCATION OF POWER OF ATTORNEY
I, !, of
!, ! !
! Country: , !
hereby revoke
! the Power of Attorney dated !, under which ! was appointed to act on my behalf.
! This Power of Attorney included the power to !
! any and all powers of attorney under which ! was appointed to act on my behalf.
! any and all powers of attorney previously signed by me, without regard to the identity of the party or parties designated in such documents to act on my behalf.
! [One or more of the powers of attorney being revoked included the power to handle transactions involving Florida real estate.]
Enter the Grantor's name or edit the information as desired. The Grantor is the person who is revoking the Power of Attorney. Use the P.I. Manager to select and paste a record. Press [Ctrl+F1] for more information.
Enter the Grantor's street address or edit the information as desired.
Enter the Grantor's extended street address or edit the information as desired.
Enter the Grantor's city or edit the information as desired.
Enter the Grantor's state/province or edit the information as desired.
Enter the Grantor's zip/postal code or edit the information as desired.
Enter an X to include the Grantor's country, if outside the United States.
Enter the country or edit the information if desired.
Enter an X to revoke just one particular power of attorney document.
Using the format MM/DD/YYYY, enter the date of the particular power of attorney that is being revoked.
Enter the Agent's name or use the P.I. Manager to select and paste a record. The Agent (Attorney-in-Fact) is the person or entity who was given the authority to act on the Grantor's behalf in the power of attorney that is being revoked.
Enter an X to include an optional sentence that helps to identify the power of attorney by explaining the power granted. Including this option may be helpful if a special power of attorney is being revoked.
Enter a description of the power that was included in the power of attorney that is being revoked. For example, the power to buy and sell real estate.
Enter an X to revoke all prior power of attorney documents under a specific Agent.
Enter an X to revoke ALL power of attorney documents previously signed by the Grantor.
Enter an X if any of the powers of attorney that are being revoked gave the Agent the power to handle real estate transactions involving property in Florida. Florida has specific requirements regarding the acknowledgement form that is used. The program will provide the appropriate form if this check box is marked.
RPA02
! Signature Section (2 of 4)
Dated _______________ _____, 19___,
at !, !
! [Country:], !
_______________________________________________
The program transfers the name of the city from a previous section. The program assumes that this document will be signed in the Grantor's city of residence. If desired, you can modify the information without affecting earlier data.
Enter the state in which this document will be signed. The program will provide the appropriate acknowledgement form for the state that is entered here.
Enter an X to include the Grantor's country, if outside the United States. This field will be marked if you included the Grantor's country in a previous section.
Enter the country or edit the information as desired.
On this the _____ day of _______________, 19___, before me, ____________________________________________________, the undersigned officer, personally appeared !, ____________________________________________________, and ____________________________________________________, known to me (or proved to me on the oath of ____________________________________________________) to be the persons who are described in and who executed the within and foregoing Revocation, and acknowledged to me that they executed the same.
Before me, a Notary Public (or justice of the peace) in and for said county, personally appeared the above named !, ____________________________________________________, and ____________________________________________________, who acknowledged that they did sign the foregoing instrument, and that the same is their free act and deed. In testimony whereof, I have hereunto subscribed my name at ___________________________, this _____ day of ________________, 19___.
The foregoing instrument was acknowledged before me this _____ day of _______________, 19___, by !, ____________________________________________________, and ____________________________________________________.
_________________________________________________
Notary Public
RPA06
! Continuation of Signature Section (2 of 4) - !
[This acknowledgement form is to be used in Florida. This form is also to be used in any other state if the Power of Attorney document that is being revoked deals with Florida real estate.]
The foregoing instrument was acknowledged before me this _____ day of ________________, 19____ by !, ____________________________________________________, and ____________________________________________________, who are personally known to me or who have produced ______________________________________ as identification.
The program will mark this check box only if the document will be signed in Idaho, Montana, Oklahoma, Pennsylvania, or Washington. These states require the inclusion of the notary's address.
The program will mark this check box only if the document will be signed in Idaho, Montana, Oklahoma, Pennsylvania, or Washington. These states require the inclusion of the notary's address.
! Continuation of Signature Section (2 of 4) - California
State of California
County of _________________________
On __________________ before me, ____________________________________, personally appeared !,
[ ] personally known to me
- OR -
[ ] proved to me on the basis of satisfactory evidence
to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signatures on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.
[This acknowledgement form is to be used in the following states:
HI, IA, LA, MA, MO, NY, RI, SD, TN, WA]
State/Commonwealth of !
County/Parish of ____________________
On this the ______ day of _______________, 19____, before me personally appeared !, to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that he/she executed same as his/her free act and deed.
The program will mark this check box only if the document will be signed in Idaho, Montana, Oklahoma, Pennsylvania, or Washington. These states require the inclusion of the notary's address.
[This acknowledgement form is to be used in the following states:
AL, AR, CT, GA, ID, MD, MS, NJ, NC, PA]
State of !
County of ________________________
On this the ______ day of _______________, 19____, before me, _________________________________________, personally appeared !, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same as for the purposes therein contained.
In witness whereof I hereunto set my hand and official seal.
The program will mark this check box only if the document will be signed in Idaho, Montana, Oklahoma, Pennsylvania, or Washington. These states require the inclusion of the notary's address.
On this _____ day of _______________, 19___, before me, the undersigned, Notary Public for the State of Vermont, personally appeared !, to me known (or to me proved) to be the identical person named in and who executed the above Revocation, and acknowledged that such person executed it as such person's voluntary act and deed.
This required section states that a copy of the revocation will be provided to the Agent. A copy of the Revocation of Power of Attorney must be given to the Agent before the Revocation can become effective.
Enter the name of the Agent or edit the information as desired. Use the P.I. Manager to select and paste a record. A copy of the Revocation of Power of Attorney must be given to the Agent before the Revocation is effective.
Enter the Agent's street address or edit the information as desired.
Enter the Agent's extended street address or edit the information as desired.
Enter the Agent's city or edit the information as desired.
Enter the Agent's state/province or edit the information as desired.
Enter the Agent's zip/postal code or edit the information as desired.
Enter an X to include the Agent's country, if outside the United States.
Enter the country or edit the information as desired.
RPA14
! Optional Preparer Section (4 of 4)
This document was prepared by:
Name: !
Address:Street 1: !
Street 2: !
City: !,
State: !
Zip Code: !
Country: !
This section is required if the Grantor lives in Alabama, Florida, Illinois, Indiana, Michigan, Minnesota, New Jersey, Ohio, Tennessee, or Wisconsin, which require the inclusion of the preparer's name and address. If you wish, you may enter an X to include the preparer's information, even if the Grantor's state does not require it.
The program transfers the Grantor's name from a previous section. If the Grantor did not prepare this document, enter the name of the preparer or use the P.I. Manager to select and paste a record.
Enter the preparer's street address or edit the information as desired.
Enter the preparer's extended street address or edit the information as desired.
Enter the preparer's city or edit the information as desired.
Enter the preparer's state/province or edit the information as desired.
Enter the preparer's zip/postal code or edit information as desired.
Enter an X to include the preparer's country, if outside the United States.
Enter the country or edit the information if desired.
(.txt)