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 attorney.
[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 _______________________________	)
	)	ss
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 satisfactory evidence) 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 instrument.

	WITNESS my hand and official seal.
	_____________________________________
	Notary Public for the State of ______________
	My commission expires __________________
[NOTARY SEAL]