RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
NAME
ADDRESS
CITY
STATE & ZIP
TITLE ORDER NO. ESCROW NO. APN NO.
REVOCATION OF POWER OF ATTORNEY
The Power of Attorney executed by ____________________________________________________________________ dated __________________. recorded ____________________, as Instrument No. ___________________________, Officicial Records of ___________________________________ County, State of ______________________________ empowering ______________________________________________________________________________________ to act on the undersigned’s behalf is hereby wholly revoked and withdrawn.
Dated:________________________ Signature: _______________________________________________________
Printed Name:
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness, accuracy, or validity of that document. |
State of California
County of _________________________________________
On __________________before me__________________________________________________________________, Notary Public, personally appeared ___________________________________________________________________, ________________________________________________________________________________________________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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