Revocation Of Power Of Attorney
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Revocation Of Power Of Attorney Form. This is a California form and can be use in Riverside Local County.
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Tags: Revocation Of Power Of Attorney, California Local County, Riverside
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
NAME
STREET
ADDRESS
S
R
U
PAGE
SIZE
DA
MISC
LONG
RFD
COPY
CITY, STATE &
ZIP CODE
M
A
L
465
426
PCOR
NCOR
SMF
NCHG
EXAM
CTY
UNI
T:
SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY
REVOCATION OF POWER OF ATTORNEY
TO WHOM IT MAY CONCERN:
On
,
, I,
, a resident of
County, State of
,
executed a Power of Attorney appointing
my attorney in fact
to perform certain acts for me.
On
,
, said Power of Attorney was recorded in the Office of
the Recorder of
as Instrument No.
County, State of
,
.
I HEREBY REVOKE said Power of Attorney, and all powers therein granted to my said attorney in fact.
WITNESS my hand this
day of
,
20
.
SIGNATURE
PRINT NAME
State of California
}
County of ____________________ }
On ________________ before me, _________________________________________________________, personally appeared
(here insert name and title of the officer)
______________________________________________________________________________________________________,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the
instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature _______________________________________________
(SEAL)
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