Kenneth Vercammen & Associates, P.C.
2053 Woodbridge Ave.
Edison, NJ 08817
(732) 572-0500
www.njlaws.com

Monday, August 29, 2016

Notice of Revocation of Power of Attorney


Notice of Revocation of Power of Attorney


I, __________________________________, of __________________________, City of ______________________________, County of __________________________, State of ___________________________, hereby give notice that I have revoked, and do hereby revoke, the power of attorney dated ________________________, given to ______________________________ [name of attorney-in-fact], empowering said ______________________________ to act as my true and lawful attorney-in-fact, and I declare that all power and authority granted under said power of attorney is hereby revoked and withdrawn.
DATED: __________________ ___________________________________
Signature of Principal
WITNESSES:
____________________________ Residing at _________________________________
____________________________ Residing at _________________________________
State of _____________
County of ___________
On this _____ day of ____________, 20__, ________________________ personally appeared before me and executed this document in my presence.
___________________________________
Notary Public

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