CA Power of Attorney - Revocation of Power of Attorney

This form applies to:
  • California
Forms by State
Organization Forms
International

CA Power of Attorney - Revocation of Power of Attorney

Form Document
03/10/2023
V 3

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to act on the undersigned’s behalf is hereby wholly revoked and withdrawn.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) 

No guidelines are available for this form at this time.