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Minnesota Revocation of Power of Attorney Form


Minnesota Revocation of Power of Attorney Form
Minnesota Revocation of Power of Attorney Form
REVOCATION OF POWER OF ATTORNEY
Minnesota Statutes ยง523.11
TO WHOM IT MAY CONCERN:
I ____________________________________________________, revoke and declare null and void the
POWER OF ATTORNEY I granted to _________________________________________which is dated
________________________, 20________.
Please be advised that the above-named person no longer has power to act as my attorney-in-fact in
any way.
Date: __________________________ _______________________________________
(Principal)
STATE OF MINNESOTA
County of __________________________________________
The foregoing instrument was acknowledged before me this ______day of _________________, 20____.
by ________________________________________.
_____________________________________
Notary Public
Minnesota Revocation of Power of Attorney Form