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Alberta Revocation of Power of Attorney Form


Alberta Revocation of Power of Attorney Form
Alberta Revocation of Power of Attorney Form
REVOCATION OF POWER OF ATTORNEY
WHEREAS I, __________________________________________________ (name of donor), of
___________________________________________________, City/Town of __________________, Province
of Alberta, did by a Power of Attorney dated the _____ day of ______________, 20_____ authorize
__________________________________________________ (name of attorney), of
___________________________________________________, City/Town of __________________, Province
of Alberta to be my attorney to exercise all of the powers and authority given to said Attorney
thereunder;
Now, for good and sufficient reasons, I hereby revoke the said Power of Attorney and all powers
and authority given therewith, and all matters and things which shall or might be done or performed by
virtue thereof.
IN WITNESS WHEREOF 1 have set my hand and seal this ___ day of ____________, 20_____.
SIGNED by _______________________________
in my presence and attested by me as witness
in the presence of _____________________________
Signature of Witness as to the signature of SIGNATURE OF DONOR
____________________ (name of donor)
Print Name of Witness
Address
Occupation
Alberta Revocation of Power of Attorney Form