[{"id":"833c8006-38be-46fb-b87b-cc41a4645430","order":1,"text":"RECORDING REQUESTED BY AND WHEN RECORDED RETURN TO:","fontSize":"11","textAlign":"left","bold":true,"underline":false,"marginBottom":"0","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"9bca1eea-e597-46b1-97a1-413cdcda5e76","order":2,"text":"[Full name of the Principal]
[Street address]
[City], [State] [ZIP code]","fontSize":"11","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"a02a5bc3-da63-4fe2-a702-5ae83ee1e791","order":3,"text":"REVOCATION OF POWER OF ATTORNEY","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6e29ce69-03f4-4443-a3fa-aa37d7e83edf","order":4,"text":"This instrument revokes a power of attorney previously granted and gives notice that the authority of the agent named in it has been terminated.","fontSize":"14","textAlign":"center","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"8dac8a55-d1de-4b96-b37f-5a131454cf91","order":5,"text":"KNOW ALL PERSONS BY THESE PRESENTS:","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"415fdba1-8944-4214-959a-2a66af599160","order":6,"text":"I, [Full name of the Principal], born on [Date of birth], residing at [Street address], [City], [State] [ZIP code] (the \"Principal\"), being an adult of sound mind and acting freely and voluntarily, make this Revocation of Power of Attorney (this \"Revocation\").","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"34d68070-186a-40d6-95c8-35d19897425c","order":7,"text":"RECITALS","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10"},{"id":"fcbef91f-6ab4-47d2-a3ac-bf9694486743","order":8,"text":"WHEREAS, on [Date of the power of attorney], the Principal executed a Durable Power of Attorney appointing [Full name of the Agent] as the Principal's agent and attorney-in-fact, that person and that instrument being referred to below as the \"Agent\" and the \"Power of Attorney\";","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"59a64fec-c289-447c-8ccd-6e996fcaada5","order":9,"text":"WHEREAS, the Power of Attorney also named, as successor agent, co-agent or alternate agent, [Names of the successor or co-agents];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f1bb40ff-3dc3-4d94-9218-7b829de1abf8","value":"yes","type":"add","operator":"="}]},{"id":"ef39c7f9-1649-41aa-8f36-0225097ba406","order":10,"text":"WHEREAS, the Power of Attorney was recorded in the public records of [County and State of recording];","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"bbad0763-2b43-495e-bd3a-b61dd9e046f8","order":11,"text":"WHEREAS, the Principal no longer wishes the Agent to act on the Principal's behalf and intends that the Power of Attorney and every authority granted by it be revoked in full;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"be7601c0-10e8-46ec-818b-972b07d3b4ee","order":12,"text":"NOW, THEREFORE, the Principal revokes the Power of Attorney and declares as follows.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"63c5b820-5bb3-4ee2-8f78-b2d8b27a9cdb","order":13,"text":"1. DEFINITIONS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S01"},{"id":"d61f568f-bafe-4cd6-a007-21fa9a477176","order":14,"text":"In this Revocation the following terms have the meanings given below.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"635cea12-adfc-4723-be9e-5bc0e2c99ad6","order":15,"text":"\"Actual Knowledge\" means knowledge in fact of this Revocation, and not merely constructive or imputed notice. Where a Third Party conducts its activities through employees, that Third Party has Actual Knowledge when the employee conducting the transaction in question knows of this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"55215ac7-77da-48c5-a39d-0e27c8da6bb1","order":16,"text":"\"Agent\" means the person identified in the Section entitled \"The Power of Attorney Being Revoked\" as the Principal's agent and attorney-in-fact under the Power of Attorney, together with every successor agent, co-agent and alternate agent named in the Power of Attorney and every person to whom authority under it was delegated.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"1edbc1cb-0279-4aa3-96e2-add337376080","order":17,"text":"\"Effective Time\" means, in relation to the Agent or to a Third Party, the time at which this Revocation takes effect as against that person under the Section entitled \"Effective Date\".","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"449e411a-3c53-46a8-8654-7425def6320c","order":18,"text":"\"Power of Attorney\" means the instrument identified in the Section entitled \"The Power of Attorney Being Revoked\", including every amendment, restatement, republication, certified copy and reproduction of it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5be5c2da-411d-4238-b01d-d0f8e98f8bec","order":19,"text":"\"Principal\" means [Full name of the Principal], the person signing this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"32a042b8-3828-4fc3-b779-2b2b4b4804e7","order":20,"text":"\"Revocation\" means this instrument, including every exhibit to it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b0919a44-9d12-419c-896a-729ed001e336","order":21,"text":"\"Third Party\" means any person or entity that has been or may be presented with the Power of Attorney, including any bank, savings institution, credit union, brokerage firm, transfer agent, title or escrow company, insurer, retirement plan administrator, employer, governmental body, recording officer, custodian of digital assets and health-care provider.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"ea5e70ef-73c6-40f2-9716-a222f4f9fe51","order":22,"text":"2. THE POWER OF ATTORNEY BEING REVOKED","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S02"},{"id":"9d85b2e9-a72d-41c0-8175-b7b9999c981d","order":23,"text":"The instrument revoked by this Revocation is the Durable Power of Attorney executed by the Principal on [Date of the power of attorney] in the State of [State], by which the Principal appointed [Full name of the Agent], of [Agent's street address], [City, State and ZIP code], as the Principal's agent and attorney-in-fact.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"623c787f-4613-431f-aace-24cf58bf973a","order":24,"text":"The Power of Attorney further named, as successor agent, co-agent or alternate agent, [Names of the successor or co-agents], and this Revocation applies to each of them, and to every person to whom the Agent delegated authority, to the same extent as it applies to the Agent.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f1bb40ff-3dc3-4d94-9218-7b829de1abf8","value":"yes","type":"add","operator":"="}]},{"id":"002ca420-da0c-48a3-91de-d4b98b44a499","order":25,"text":"The Power of Attorney designated the Agent alone and named no successor agent or co-agent.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f1bb40ff-3dc3-4d94-9218-7b829de1abf8","value":"no","type":"add","operator":"="}]},{"id":"c02e7a7d-277c-4b30-b694-8c29437243d0","order":26,"text":"The Power of Attorney was recorded on [Date of recording] in the office of the recording officer of [County and State of recording], as instrument number [Instrument number], at [Book and page].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"8b820b08-87f2-40c1-9011-cb592a9d9a8c","order":27,"text":"The Power of Attorney was not recorded in any public land or deed record known to the Principal.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"no","type":"add","operator":"="}]},{"id":"85c8fe0a-1b9e-4c23-b10c-6ef23ce20307","order":28,"text":"Any reference in this Revocation to the Power of Attorney includes every amendment, restatement, republication and certified copy of it, and every reproduction of it in paper or electronic form.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"0452712e-5eb8-4e0a-8783-945685327227","order":29,"text":"3. REVOCATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S03"},{"id":"beb0c488-09ff-4cf0-9359-d1bb89aa429a","order":30,"text":"The Principal hereby revokes, cancels, annuls and terminates the Power of Attorney in its entirety, together with every power, authority, right, privilege and discretion granted by it, and revokes the authority of the Agent to act for the Principal in any capacity whatsoever, this Revocation taking effect at the time provided in the Section entitled \"Effective Date\".","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"14a20800-e98b-4108-99cb-e981dd484418","order":31,"text":"This Revocation is made in exercise of the Principal's right to revoke a power of attorney at any time, a right recognized at common law and codified at Section 110 of the Uniform Power of Attorney Act (2006) and in the corresponding provisions of the law of the States that have enacted it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"2d731b4f-8893-48e3-9edd-9cf58e544cd1","order":32,"text":"The Principal also revokes every nomination of a conservator or of a guardian of the Principal's estate or person contained in the Power of Attorney, as contemplated by Section 108 of that Act, and every direction, instruction and delegation of authority given to the Agent in or under the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"24a0f9dc-7834-4675-b9bd-9b19b57570c6","order":33,"text":"Where the Agent is or was the spouse of the Principal, the authority of the Agent is in any event revoked by operation of law upon the filing of an action for the dissolution or annulment of the marriage or for legal separation, unless the Power of Attorney provides otherwise, under Section 110 of that Act. This Revocation is given in addition to, and without reliance upon, that rule.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"45cbdb95-0f4d-4dd2-92ca-b4cb84cc9c1b","order":34,"text":"The revocation extends to the original of the Power of Attorney and to every counterpart, certified copy and photographic, facsimile or electronic reproduction of it, wherever located and in whosever hands.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"690ba011-32ad-4c13-86df-ae37c5521af4","order":35,"text":"No part of the Power of Attorney survives this Revocation. Any provision of the Power of Attorney purporting to make it irrevocable is of no effect, except so far as the Power of Attorney is coupled with an interest and is irrevocable as a matter of law, in which case this Revocation takes effect to the fullest extent that law permits.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"315b2045-f6e8-4676-8aea-728ffee4c86a","order":36,"text":"4. EFFECTIVE DATE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S04"},{"id":"e2761657-b0cc-4ec8-9a49-7d14d5dc33b1","order":37,"text":"This Revocation takes effect immediately upon its execution by the Principal and, as regards the Agent or any Third Party, upon that person acquiring Actual Knowledge of it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"9cafebd0-3cd2-4198-8468-2f245e2097ae","value":"immediate","type":"add","operator":"="}]},{"id":"1ae75d9f-c2be-4e79-af50-89b61ca6e9d8","order":38,"text":"This Revocation takes effect on [Effective date] and, as regards the Agent or any Third Party, upon the later of that date and the time at which that person acquires Actual Knowledge of it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"9cafebd0-3cd2-4198-8468-2f245e2097ae","value":"specified","type":"add","operator":"="}]},{"id":"37f4a977-d0d1-4838-9451-e4b6bf4d5b39","order":39,"text":"Under Section 110 of the Uniform Power of Attorney Act (2006), the termination of an agent's authority or of a power of attorney is not effective as to the agent, or as to another person, that acts in good faith under the power of attorney without actual knowledge of the termination, and an act so performed binds the principal and the principal's successors in interest. The Principal therefore gives the notices provided for in this Revocation without delay.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"7ca14aca-cebf-4269-b5d3-095c2ef86e3f","order":40,"text":"5. TERMINATION OF THE AGENT'S AUTHORITY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S05"},{"id":"e55df818-5685-4ab4-b002-0d5b2c8c1104","order":41,"text":"From the Effective Time the Agent has no authority of any kind to act for or to bind the Principal, and the Agent shall immediately cease to exercise, and cease to represent to any person that the Agent holds, any power under the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3f6f3b99-581d-4c17-915e-16ed71633954","order":42,"text":"Without limiting the preceding paragraph, the Agent shall not after the Effective Time sign any instrument in the Principal's name; open, operate, close or draw upon any account of the Principal; access any safe-deposit box of the Principal; sell, pledge, encumber, transfer or otherwise deal with any property of the Principal; incur any liability or obligation in the Principal's name; make any gift or other gratuitous transfer of the Principal's property; change the beneficiary of any account, policy or plan of the Principal; commence, defend or settle any claim in the Principal's name; or request, receive, use or disclose any information relating to the Principal, including protected health information.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5fdcc5aa-330a-49a1-a2ba-59e6d31d6324","order":43,"text":"The Agent's right to compensation and to reimbursement of expenses under the Power of Attorney, as contemplated by Section 112 of the Uniform Power of Attorney Act (2006), ceases at the Effective Time, except in respect of expenses properly incurred before that date and supported by vouchers.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"50aef55a-00b9-4d6b-b216-93a76f9ca5ee","order":44,"text":"The duties owed by the Agent in respect of the period during which the Agent acted, including the duties to act loyally and in the Principal's best interest, to keep the Principal's property separate from the Agent's own, to keep records and to account, survive this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"e23dba1c-b131-4150-a404-27934d5666b9","order":45,"text":"6. DIGITAL ASSETS AND ONLINE ACCOUNTS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S06"},{"id":"52782afa-0bae-4afb-8a63-de64cfcb6916","order":46,"text":"The Principal revokes every authority of the Agent over the Principal's digital assets, online accounts and electronic communications, including any express authority over the content of electronic communications granted for the purposes of Section 9 of the Revised Uniform Fiduciary Access to Digital Assets Act (2015), and every authority to obtain a catalogue of electronic communications or other digital assets under Section 10 of that Act.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"9d527f4d-2f56-40d0-8b13-288b34efc775","order":47,"text":"The Agent shall not, after the Effective Time, request the disclosure of any digital asset of the Principal from a custodian, and shall not certify to any custodian that the Power of Attorney remains in effect.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"64a664d8-5a96-4c84-9c5b-9c7b512dd9df","order":48,"text":"The Agent shall promptly deliver to the Principal every password, passcode, security token, recovery code, hardware key and device belonging to the Principal or used to access an account of the Principal, and shall permanently delete every copy of those credentials.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"f4c4299b-310b-4d47-a8fe-fea65617a692","order":49,"text":"The Principal shall change the credentials and recovery details of every account to which the Agent has had access and shall remove the Agent from every account that permits a delegated, authorized or trusted user. Where a custodian provides an online tool by which a user may direct the disclosure of digital assets, the Principal shall use that tool. Where the tool allows a direction to be modified or deleted at all times, a direction given through it takes priority over a contrary direction contained in a power of attorney or other record.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"ca0f3084-9e29-46bf-97d3-4f397fc51b60","order":50,"text":"7. SURRENDER OF THE POWER OF ATTORNEY AND OF ALL COPIES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S07"},{"id":"6527ccb1-9369-463d-802c-fffb50feb327","order":51,"text":"The Principal demands that the Agent, within ten (10) days after the later of the receipt of this Revocation and the Effective Time, deliver to the Principal the original of the Power of Attorney and every copy of it in the Agent's possession, custody or control, and permanently delete every electronic copy that cannot be delivered.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"85cf8012-c90a-4af5-a75a-b8ab0a2b91d5","order":52,"text":"The Agent shall also deliver to the Principal a written statement identifying, so far as the Agent is aware, every Third Party to which the Agent has presented, delivered or disclosed the Power of Attorney, so that the Principal may give notice under the Section entitled \"Notice to Financial Institutions and Other Third Parties\".","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"95093f37-d6a7-455b-8106-1583c3072dc0","order":53,"text":"8. ACCOUNTING AND DELIVERY OF PROPERTY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S08"},{"id":"bfbb96ea-7155-494e-b152-b010b3a4c738","order":54,"text":"The Principal demands that the Agent, within thirty (30) days after the later of the receipt of this Revocation and the Effective Time, deliver to the Principal all money, securities, deeds, certificates of title, keys, cards, credentials, books and records and other property of the Principal held or controlled by the Agent, together with a full and accurate account of every act taken and of every receipt, disbursement and transaction made by the Agent under the Power of Attorney, supported by the statements, invoices and vouchers in the Agent's possession.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"cd90e1dd-d049-415a-bab8-c1e3c41ec221","order":55,"text":"The account shall identify separately every gift, loan, guarantee, change of beneficiary designation, change of ownership and transfer made to the Agent, to a member of the Agent's family or to any person or entity in which the Agent has an interest, stating in each case the date, the amount or the property concerned and the provision of the Power of Attorney relied upon.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"4114cec1-e47c-4cd5-8ab9-98cb2268746c","order":56,"text":"The Agent's duty to account is not discharged by this Revocation and is without prejudice to the right of the Principal, or of the Principal's successors, personal representative, guardian or conservator, to require an accounting or to seek any other relief from a court of competent jurisdiction.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"ce2ed2fb-991a-4a48-abf8-b25e39a2c3ab","order":57,"text":"9. RATIFICATION OF PRIOR ACTS AND RESERVATION OF CLAIMS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S09"},{"id":"44cda5cf-33e6-4d1e-bc7f-9cf9db11de32","order":58,"text":"Acts performed by the Agent under the Power of Attorney before the Effective Time as against the Agent, and within the authority then conferred, are ratified and confirmed by the Principal.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"8ede534e-e9e9-47be-a00a-71684582bfe8","order":59,"text":"Nothing in this Revocation ratifies, approves, releases or waives any act of the Agent that exceeded the authority conferred by the Power of Attorney, that was performed in breach of the Agent's duties, or that was performed after the Effective Time as against the Agent. The Principal expressly reserves every claim, right, remedy and cause of action arising out of any such act.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"23a43339-faff-4f53-9bb6-09f1c299fd66","order":60,"text":"Where the Agent has violated the duties owed to the Principal, the Principal reserves the right to recover the amount required to restore the value of the Principal's property to what it would have been had the violation not occurred, together with the attorney's fees and costs paid on the Agent's behalf, as provided by Section 117 of the Uniform Power of Attorney Act (2006).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"154b92be-8571-485d-89dd-294b820b3e12","order":61,"text":"The Agent is placed on notice that purporting to act under the Power of Attorney after the Effective Time as against the Agent is an act without authority, and may expose the Agent to liability for damages, to an order for restitution and, where the law of the State concerned so provides, to criminal prosecution.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3d43c089-4756-4320-8f4f-15aba28c5c39","order":62,"text":"Nothing in this Revocation limits the right of the Principal, or of any other person, to report suspected financial exploitation, neglect or abuse to law enforcement, to adult protective services or to any regulator having jurisdiction.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"2ba7fcdf-71ad-4f5e-a248-0c6f50f048fd","order":63,"text":"10. NOTICE TO THE AGENT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S10"},{"id":"039592e0-a059-4c02-859b-980a4d003c5c","order":64,"text":"The Principal shall deliver a copy of this Revocation to the Agent by United States certified mail, return receipt requested, addressed to the Agent at [Agent's street address], [City, State and ZIP code], or at the Agent's last known address.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"61b30212-07c8-4092-8730-cc7e1d148958","order":65,"text":"A copy of this Revocation shall be delivered in the same manner to each successor agent and co-agent named in the Power of Attorney, at that person's last known address.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f1bb40ff-3dc3-4d94-9218-7b829de1abf8","value":"yes","type":"add","operator":"="}]},{"id":"a9275f59-f541-4049-873a-830b0450889f","order":66,"text":"Notice is effective when received. The Principal shall keep proof of delivery, including any return receipt, courier record or signed acknowledgment of receipt, with the Principal's copy of this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"2bffdbd9-d705-42ce-8c7b-8e7ff055656f","order":67,"text":"If the Agent cannot be located or refuses delivery, the Principal shall send this Revocation to the Agent's last known postal address and to every other postal address, electronic address and telephone number known to the Principal, shall keep a record of each attempt and of any refusal, and shall in addition give the notices provided for in the Section entitled \"Notice to Financial Institutions and Other Third Parties\", on which the protection of the Principal principally depends.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"8396530d-49b2-47ee-acf4-91ff9a0f42e5","order":68,"text":"11. NOTICE TO FINANCIAL INSTITUTIONS AND OTHER THIRD PARTIES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S11"},{"id":"5b1999b5-d221-47d2-9518-825b09d68b96","order":69,"text":"The Principal shall deliver a copy of this Revocation to the persons and institutions listed below, being those known to the Principal to hold, or to be likely to hold, a copy of the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"06fd06be-c28a-4461-9ede-35a65f8b49d4","value":"list","type":"add","operator":"="}]},{"id":"440cc7f2-6df3-4e86-8f93-545634b17034","order":70,"text":"[List of persons and institutions to be notified]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"06fd06be-c28a-4461-9ede-35a65f8b49d4","value":"list","type":"add","operator":"="}]},{"id":"522c961b-7e17-4af7-8020-320c752b0bc2","order":71,"text":"The Principal shall deliver a copy of this Revocation to every bank, savings institution, credit union, brokerage firm, transfer agent, insurer, title or escrow company, retirement plan administrator, employer, governmental body and other person known to the Principal to hold, or to be likely to hold, a copy of the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"06fd06be-c28a-4461-9ede-35a65f8b49d4","value":"general","type":"add","operator":"="}]},{"id":"1d1f4ae6-a373-47a3-b915-ee0704eb6c24","order":72,"text":"Where notice is given to an entity that acts through employees, the Principal shall address the notice to an officer of the entity or to the department responsible for the account or matter concerned, so that the employee conducting any transaction under the Power of Attorney has Actual Knowledge of this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"8b5493cf-df23-45c6-9ec4-c62331fa2e4d","order":73,"text":"The notice set out in Exhibit A may be used for that purpose and shall be delivered together with a copy of this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"462a9401-f3b4-4862-ab1f-09244881420f","order":74,"text":"12. RELIANCE BY THIRD PARTIES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S12"},{"id":"e1f3d4aa-95c7-41a7-b75b-63047337ab78","order":75,"text":"From the Effective Time as against it, a Third Party may no longer rely upon the Power of Attorney and shall not accept, honor or act upon it. Under Section 120 of the Uniform Power of Attorney Act (2006), a person is not required to accept an acknowledged power of attorney where that person has actual knowledge of the termination of the agent's authority or of the power of attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"bfa57b03-33bb-4e40-9908-309841c5358e","order":76,"text":"Under Section 119 of that Act, a Third Party that in good faith accepts an acknowledged power of attorney without actual knowledge that it has been terminated may rely upon it as if it were still in effect. For that reason this Revocation is executed before a notary public, so that it is an acknowledged instrument, and notice of it is given promptly and in a form capable of proof.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"8816dc57-f985-4def-88dd-a63bcb2053a1","order":77,"text":"The Principal requests that each Third Party immediately cease honoring the Power of Attorney, remove the Agent's authority from every account, file and record of the Principal, and confirm to the Principal in writing that it has done so.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5744527d-10bf-4306-a930-fb94a60ee843","order":78,"text":"A Third Party is allowed such time as is reasonably necessary to record this Revocation in its systems, but shall not in the meantime permit the Agent to open an account, to withdraw or transfer funds, to obtain credit or to enter into any new transaction on the Principal's behalf.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"18d85140-8cd6-4e1a-b0e6-b825a0fd3984","order":79,"text":"The Principal does not ratify, and shall not be bound by, any transaction entered into under the Power of Attorney after the Effective Time as against the Agent or the Third Party concerned.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"47b10df3-c97c-431f-b4a0-66d0a21c0121","order":80,"text":"13. AUTHORITIES NOT AFFECTED BY THIS REVOCATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S13"},{"id":"fdf6a07b-9efe-42f1-ab64-5fed07b47e39","order":81,"text":"The revocation of the Power of Attorney does not of itself revoke or affect the following, each of which the Principal must deal with separately in order to remove the Agent's authority completely.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"fc9f9a9d-2a47-412e-ad43-7197d841c607","order":82,"text":"— Any authorization to represent the Principal before the Internal Revenue Service, or before a State or local tax authority, which is revoked only in the manner prescribed by the authority concerned.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"63c805b9-b4a0-49c1-b3e7-b7182a95ec81","order":83,"text":"— Any designation of the Agent as representative payee or fiduciary by the Social Security Administration, the Department of Veterans Affairs or a comparable body, which is not made under a power of attorney and is terminated only by that body.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"04b6e481-02f2-4c22-96cf-6634930d27f6","order":84,"text":"— Any signature card, account authorization, convenience-signer arrangement or third-party access form held by a bank, credit union, brokerage firm or other institution, which is governed by that institution's own terms and must be cancelled with it directly.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"d9ec11d5-f23f-4271-acf5-eb96443b4196","order":85,"text":"— Any designation of the Agent as beneficiary, joint owner, payable-on-death or transfer-on-death payee of an account, policy, plan or security, which is changed only by instruction given to the provider concerned.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"52ca417e-7fa3-41f2-b18d-0e36e5e6aa4c","order":86,"text":"— Any appointment of the Agent as trustee, personal representative, executor, guardian or conservator under a separate instrument or under an order of a court, which is terminated only in accordance with that instrument or by the court.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"0b3eda7c-3c6d-4928-bfd6-910d2cd14e62","order":87,"text":"— Any authority conferred on the Agent by a separate power of attorney that the Principal has not revoked, and any authority of the Agent under a business entity, partnership or employment arrangement.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"58fc13fe-2202-445e-b6db-e0ba0de8b0ec","order":88,"text":"The Principal shall take the separate step required in each case that applies and shall keep evidence of having done so with this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"41db6ded-335b-47ce-b212-76a72bd0a49c","order":89,"text":"14. RECORDING OF THIS REVOCATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}],"marginTop":"20","sectionNum":"S14"},{"id":"990bae21-ec56-47f0-8d53-8dda077a7831","order":90,"text":"Because the Power of Attorney was recorded, the Principal shall cause this Revocation to be recorded in the same office in which the Power of Attorney was recorded, namely the office of the recording officer of [County and State of recording], and in the office of the recording officer of every other county in which the Principal owns, or has owned, real property that was or might be dealt with under the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"0efeb15e-1b59-4ed9-a74b-31ed47bd9a32","order":91,"text":"This Revocation shall be presented for recording in acknowledged form and the Principal shall pay the recording fees. A certified copy of the recorded Revocation shall be kept with the Principal's records and delivered to any Third Party requesting evidence of the revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"da0e2294-92cc-4f3d-8efb-d5fb829d92c1","order":92,"text":"The Principal shall also deliver a copy of the recorded Revocation to any title or escrow company, lender and county tax office concerned with real property of the Principal, so that no instrument is accepted from the Agent for recording after the Effective Time.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"8542d3a9-390f-422d-9c63-d09ee510cfee","order":93,"text":"Recording gives such notice of this Revocation as the recording law of the State concerned provides, and does not dispense with the actual notice required by this Revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"2537efc4-8a6c-40f4-8080-2c91de0e9879","value":"yes","type":"add","operator":"="}]},{"id":"3d4c6915-8023-4dba-918d-cc5358ee95b7","order":94,"text":"15. REVOCATION OF THE HEALTH-CARE AGENCY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"249c0a7b-40a1-46cf-b632-2b614ec04b2b","value":"Power of Attorney for Health Care","type":"add","operator":"="}],"marginTop":"20","sectionNum":"S15"},{"id":"a38aea3a-2f54-4d24-a3aa-a3e778e285be","order":95,"text":"The Power of Attorney being revoked is a power of attorney for health care. The Principal revokes the designation of the Agent as the Principal's health-care agent and revokes every instruction, authorization and release for the disclosure of health information given in or under the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"249c0a7b-40a1-46cf-b632-2b614ec04b2b","value":"Power of Attorney for Health Care","type":"add","operator":"="}]},{"id":"98d3edbb-7cb2-4b0b-90b8-b56cac1f673e","order":96,"text":"The Uniform Health-Care Decisions Act and the comparable advance-directive statutes of the several States provide that an individual may revoke the designation of a health-care agent by a signed writing or by personally informing the supervising health-care provider. This Revocation is such a signed writing, and the Principal may in addition inform the supervising health-care provider directly.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"249c0a7b-40a1-46cf-b632-2b614ec04b2b","value":"Power of Attorney for Health Care","type":"add","operator":"="}]},{"id":"3f85df28-b3f4-4a6d-9a6a-927cac33ec0b","order":97,"text":"The Principal shall deliver a copy of this Revocation to the Principal's supervising health-care provider and to every physician, hospital, nursing facility, hospice, health plan and other health-care institution holding a copy of the Power of Attorney, and shall require that it be placed in the Principal's medical record. The Principal also revokes every authorization given to the Agent under the Health Insurance Portability and Accountability Act of 1996 to receive the Principal's protected health information.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"249c0a7b-40a1-46cf-b632-2b614ec04b2b","value":"Power of Attorney for Health Care","type":"add","operator":"="}]},{"id":"a4d199c3-20fc-4efc-9979-df027ca0cfa9","order":98,"text":"A health-care provider, agent, guardian or surrogate who is informed of this Revocation is requested to communicate it promptly to the supervising health-care provider and to any institution at which the Principal is receiving care, as the advance-directive statutes require.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"249c0a7b-40a1-46cf-b632-2b614ec04b2b","value":"Power of Attorney for Health Care","type":"add","operator":"="}]},{"id":"1a393888-141f-4e5f-9bee-13bbca6d97c3","order":99,"text":"Nothing in this Revocation revokes any individual health-care instruction or living will of the Principal that does not depend upon the Agent's authority, nor any do-not-resuscitate order or portable medical order signed by a physician, each of which remains in force until it is separately revoked in the manner provided by the law of the State concerned.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"249c0a7b-40a1-46cf-b632-2b614ec04b2b","value":"Power of Attorney for Health Care","type":"add","operator":"="}]},{"id":"147d2452-4ab4-4291-903b-c8f81f3eecfa","order":100,"text":"16. SUBSEQUENT POWER OF ATTORNEY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S16"},{"id":"56e96699-443a-4eb0-9efd-2b34e48875f0","order":101,"text":"The Principal has executed a new power of attorney dated [Date of the new power of attorney], by which [Full name of the new agent] is appointed as the Principal's agent and attorney-in-fact. That instrument is separate from this Revocation. Nothing in this Revocation confers authority upon any person, and nothing in the new power of attorney revives the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"20e98752-a2fd-4dd8-bc1e-650cba647669","value":"new","type":"add","operator":"="}]},{"id":"40093702-2c37-4f3d-92aa-36397516ee70","order":102,"text":"The Principal has not appointed, and does not by this Revocation appoint, any other person as agent or attorney-in-fact. Until the Principal executes a new power of attorney, no person holds authority to act for the Principal under any power of attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"20e98752-a2fd-4dd8-bc1e-650cba647669","value":"none","type":"add","operator":"="}]},{"id":"e1d87cfa-21c0-49e4-b595-bab2b897994c","order":103,"text":"Under Section 110 of the Uniform Power of Attorney Act (2006), the execution of a power of attorney does not revoke a power of attorney previously executed by the principal unless the later instrument so provides. This Revocation is given so that no question arises as to the continued effect of the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"353e258d-75d3-44fa-a635-c82ab3a42d04","order":104,"text":"17. CAPACITY AND VOLUNTARY EXECUTION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S17"},{"id":"84dc3e01-101f-43c8-8cd1-8d02f547c050","order":105,"text":"The Principal is an adult, is of sound mind, understands the nature and effect of this Revocation, and executes it freely and voluntarily, without fraud, duress, menace or undue influence.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"4c426e3e-dd3a-4dfc-9f4e-c4317f5dca44","order":106,"text":"The Principal is not aware of any guardianship, conservatorship, court order or agreement that restricts the Principal's right to revoke the Power of Attorney. Where a court has appointed a guardian or conservator of the Principal's estate, this Revocation is given without prejudice to that appointment and to any order of the court.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"567487cb-7cfe-405d-b739-d2d55f160aee","order":107,"text":"No determination of the Principal's incapacity has been made that would prevent the Principal from revoking the Power of Attorney, and the revocation of a power of attorney that has become effective upon a finding of incapacity is nevertheless within the Principal's power while the Principal understands the nature and effect of the act.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"f7db4e04-68cc-42bf-b2ba-8c21caa85d38","order":108,"text":"18. GOVERNING LAW","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S18"},{"id":"bfa63364-91b9-4539-8499-fbe05a033e36","order":109,"text":"This Revocation is governed by the law of the State of [State]. Where the Power of Attorney, or any property or account affected by it, is governed by the law of another State, this Revocation shall be construed and given effect so as to revoke the Power of Attorney to the fullest extent that law permits.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"65be826a-552d-420d-b91e-9ffcaf4306d5","order":110,"text":"Under Section 107 of the Uniform Power of Attorney Act (2006), the meaning and effect of a power of attorney is determined by the law of the jurisdiction indicated in it and, in the absence of such an indication, by the law of the jurisdiction in which it was executed. This Revocation is to be read consistently with that rule.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b5e9ce24-98f6-48dc-a1f1-caac7abc38a8","order":111,"text":"This Revocation is intended to satisfy the requirements for the revocation of a power of attorney in every jurisdiction in which the Power of Attorney may be presented.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"3cc7d141-dde1-481b-9737-e1c26748ce03","order":112,"text":"19. EXECUTION AND FORMALITIES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S19"},{"id":"ceaef771-20a8-4d40-ad58-aca85e1e69c4","order":113,"text":"This Revocation is signed by the Principal or, if the Principal is unable to sign, by another individual signing the Principal's name in the Principal's conscious presence and at the Principal's direction, in the manner permitted by Section 105 of the Uniform Power of Attorney Act (2006) for the execution of a power of attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d39ed32e-9660-4677-8bf0-c4d4c0eb4380","order":114,"text":"The Principal acknowledges the signature before a notary public, so that the signature is presumed genuine, so that this Revocation is an acknowledged instrument capable of being recorded, and so that no Third Party may treat it as less formal than the Power of Attorney it revokes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"4a6ab734-6a32-428e-82d5-c051cd008aea","order":115,"text":"Two witnesses also attest the signature. Witnesses are not required in every State, but their attestation assists in proving due execution and satisfies the requirement of those States that call for witnesses to the revocation of a power of attorney for health care.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"9b1433b6-2f4d-41d7-b8e7-b648a4bf7eb4","order":116,"text":"Where the law of the State concerned permits electronic signature and remote notarization, this Revocation may be signed and acknowledged by those means, save that an original bearing a manuscript signature and a notarial seal may be required for recording.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"c52d08ba-61eb-42ce-8bd3-9d0ef5803f86","order":117,"text":"20. MISCELLANEOUS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S20"},{"id":"3b236dc7-17c3-41ab-8d79-4ff664272d5a","order":118,"text":"If any provision of this Revocation is held invalid or unenforceable, the remaining provisions continue in full force, and the revocation of the Power of Attorney remains effective in all events.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"dd498227-6ede-44ba-8e43-1ce6073340e4","order":119,"text":"A photocopy, facsimile or electronic image of this Revocation, once executed and acknowledged, has the same force and effect as the original for all purposes, and any Third Party may rely upon it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"f084c39d-a024-4b76-a01d-167844fa3c82","order":120,"text":"The headings of this Revocation are for convenience only and do not affect its construction. This Revocation may be executed in counterparts and constitutes the entire act of revocation of the Principal in respect of the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"5dd2b130-ea8c-4ebd-84f4-16909a33f221","order":121,"text":"IN WITNESS WHEREOF, the Principal has executed this Revocation of Power of Attorney on [Date of signature], at [County] County, State of [State].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"marginTop":"20"},{"id":"da248db1-6d75-4154-84c1-d07d20394e8d","order":122,"text":"_____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"e2e9ee14-53e7-4355-b94a-f2fcb911fe60","order":123,"text":"[Full name of the Principal], Principal","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"fbd39397-7125-4d39-84dd-0a54fc5f1a10","order":124,"text":"WITNESSES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20"},{"id":"9967d502-48f0-43ee-a5f2-4987ea3ae7db","order":125,"text":"The Principal signed this Revocation in our presence and, at the Principal's request and in the Principal's presence, we sign as witnesses. Neither of us is the Agent named in the Power of Attorney, each of us is at least eighteen years of age and of sound mind, and neither of us stands to benefit from the revocation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"c3231770-9fed-4437-ae97-a53022e856fa","order":126,"text":"Witness one, signature: _____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"04e2de90-c790-454c-bd03-8ff205aca093","order":127,"text":"Printed name and address: _____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"b4dbc15d-d07b-4850-a782-ad0fc876ba01","order":128,"text":"Witness two, signature: _____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"2e2eabec-c5c2-453b-b9a9-71c4bd954b01","order":129,"text":"Printed name and address: _____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"5ab1f2be-29a9-4080-9b15-a80d8c89cb15","order":130,"text":"ACKNOWLEDGMENT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20"},{"id":"938b2e78-9f1b-41bd-82b8-dbf01ee5b388","order":131,"text":"STATE OF [State]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"02389267-92cf-43e3-8361-081c407a1f17","order":132,"text":"COUNTY OF [County]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"8b75a7a2-657c-454b-a908-370ca30f37ac","order":133,"text":"On this ______ day of ____________________, 20____, before me, the undersigned notary public, personally appeared [Full name of the Principal], proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the foregoing instrument, and acknowledged that the said person executed the same for the purposes therein contained.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b5586225-6f75-436e-8f06-d57a533fa56a","order":134,"text":"WITNESS my hand and official seal.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"a8cd9d26-03c2-46bd-b2d7-c1f93d3c6f58","order":135,"text":"_____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"d8177708-f7bd-4edb-8e81-c7c7a5958fef","order":136,"text":"Notary Public","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"134b14e4-742d-40a8-ba5b-2f899fdd4b37","order":137,"text":"My commission expires: ____________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"4a580fb9-653b-4867-a002-1cccbf3101b3","order":138,"text":"EXHIBIT A","fontSize":"16","textAlign":"center","bold":true,"underline":false,"marginBottom":"5","cflou":false,"active":true,"marginTop":"30"},{"id":"c532c249-1798-4154-9a87-4a0b365e171b","order":139,"text":"NOTICE OF REVOCATION OF POWER OF ATTORNEY","fontSize":"16","textAlign":"center","bold":true,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"cb0c9d2f-f9cd-4874-9f50-cac8259df552","order":140,"text":"To the person or institution receiving this notice:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7b98043f-599b-41f8-ba80-b06c93b84ae2","order":141,"text":"PLEASE TAKE NOTICE that [Full name of the Principal], born on [Date of birth], of [Street address], [City], [State] [ZIP code], has revoked the Durable Power of Attorney dated [Date of the power of attorney] under which [Full name of the Agent] was appointed as agent and attorney-in-fact. A copy of the executed Revocation of Power of Attorney accompanies this notice and states the time from which the revocation takes effect.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3a4a2468-57c5-4be9-a5f2-acab4af31953","order":142,"text":"From the later of your receipt of this notice and the effective time stated in the accompanying Revocation, [Full name of the Agent] has no authority to act for [Full name of the Principal] in any capacity. You are requested to cease honoring the power of attorney, to remove the agent's authority from every account, file and record you hold for [Full name of the Principal], and to confirm in writing that you have done so.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"1d8344a6-bbf0-48b9-b115-f2b12b58473d","order":143,"text":"Any transaction purportedly made under the power of attorney after that time is made without authority and will not be ratified.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"696c5812-0140-4f8f-a8c1-0f7eca04d676","order":144,"text":"Dated: [Date of signature]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"d034e40b-11e9-43fb-987a-6e95472b889c","order":145,"text":"_____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true},{"id":"6e169cbe-26f9-47a1-8dab-d8b64a60632c","order":146,"text":"[Full name of the Principal], Principal","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"2203cd21-7ac5-4fdf-a22c-8cae43b5aaf7","order":147,"text":"RECORD OF DELIVERY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20"},{"id":"2ef713b3-1e56-4e97-9f02-870e38a61962","order":148,"text":"Copy delivered to the Agent on ____________________ by ____________________________.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"8dab7b30-9b0b-42ef-945c-ca7f106196be","order":149,"text":"Copy delivered to ____________________________ on ____________________ by ____________________________.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"5","cflou":false,"active":true},{"id":"200bd491-42dd-4846-9054-188935f82ad1","order":150,"text":"Copy delivered to ____________________________ on ____________________ by ____________________________.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"4883e22a-f9c0-43b4-b484-d1b8981c52d3","order":151,"text":"Proof of delivery is to be retained with this Revocation and produced to any person disputing the revocation of the Power of Attorney.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true}]