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New Jersey Revocation of Power of Attorney Form

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New Jersey Revocation of Power of Attorney Form
New Jersey Revocation of Power of Attorney Form
REVOCATION OF POWER OF ATTORNEY
(NEW JERSEY)
Reference is hereby made to that certain power of attorney granted by
__________________________________________________________, [insert your full name] the Principal, to
__________________________________________, [insert full name of attorney] the Attorney-in-Fact, and
dated the _____ day of ______________, _______.
This document constitutes notice that the Principal hereby revokes, rescinds and terminates the said
power of attorney and all authority, rights and power thereunder.
DATED at ____________________, State of New Jersey this _____ day of ______________, _______.
Signature of Principal
Acknowledgment
State of New Jersey )
County of ___________________________ )
Before me, a notary public in and for said County and State, personally appeared the above-named who
acknowledged that he/she did sign the foregoing instrument and that the same is his/her free and
voluntary act and deed.
(SEAL)
Notary Public
My Commission expires:
New Jersey Revocation of Power of Attorney Form