Revocation of Power of Attorney NOTICE IS HEREBY GIVEN TO the Agent(s) and third parties who received, retained and acted upon, a certain Power of Attorney, signed by (the "Principal") on , 20 designating as my Agent (s) , THAT I HEREBY REVOKE that Power of Attorney and all the power and authority granted by that Power of Attorney, effective on the date of my signature below. Date of signature: , 20 . Principal signs here Notice sent to the following: Acknowledgment State of New York, County of On , ss: , before me, the undersigned, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(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 capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (Signature and office of individual taking acknowledgement) American LegalNet, Inc. www.FormsWorkFlow.com