Use this form to revoke (remove) Power of Attorney from your agent.
Use this text or use the fillable PDF form that is below the text.
Instructions: You can revoke a power of attorney simply by telling your agent that you are revoking the power of attorney. This document is a more formal way of doing the same thing.
REVOCATION OF POWER OF ATTORNEY
I, [write your name], of [write your town], Vermont, hereby revoke any and all Powers of Attorney and all authority to act as my Agent given to [write your Agent’s name]. From this date forward, my former Agent has no authority to handle my personal or financial affairs. Under 14 V.S.A. § 3507(b), my former Agent must comply with this revocation. This document serves as notice of the revocation to the Agent and to all parties that receive it. A photocopy has the same effect as the original.
SIGNATURE OF PRINCIPAL
[You sign here]
Date: [Write the date]
A notary’s signature is optional. This form revokes a power of attorney even if it is not notarized.
SIGNATURE OF NOTARY
At [write the city/town],[write the state], the principal appeared personally before me and signed this Revocation of Power of Attorney.
[Notary signs here]
Date: [Write the date]
My commission expires on [write expiration date]
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Revoke-Power-of-Attorney-Form(fully-accessible).pdf47.35 KB | 47.35 KB |