I, __________________________________, of __________________________, City of ______________________________, County of __________________________, State of ___________________________, hereby give notice that I have revoked, and do hereby revoke, the power of attorney dated ________________________, given to ______________________________ [name of attorney-in-fact], empowering said ______________________________ to act as my true and lawful attorney-in-fact, and I declare that all power and authority granted under said power of attorney is hereby revoked and withdrawn.
DATED: __________________ ___________________________________
Signature of Principal
WITNESSES:
____________________________ Residing at _________________________________
____________________________ Residing at _________________________________
State of _____________
County of ___________
On this _____ day of ____________, 20__, ________________________ personally appeared before me and executed this document in my presence.
___________________________________
Notary Public
http://njlaws.com/notice_of_revocation_of_power_of_attorney.html?id=1265&a=
DATED: __________________ ___________________________________
Signature of Principal
WITNESSES:
____________________________ Residing at _________________________________
____________________________ Residing at _________________________________
State of _____________
County of ___________
On this _____ day of ____________, 20__, ________________________ personally appeared before me and executed this document in my presence.
___________________________________
Notary Public
http://njlaws.com/notice_of_revocation_of_power_of_attorney.html?id=1265&a=