DOCUMENT REVOKING GENERAL POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS:
That I, ________________________ (YOUR NAME), of ___________________________ (YOUR ADDRESS), Connecticut, hereby REVOKE in all respects, the General Power of Attorney granted by me to _________________________________________ (name), of ______________________ (address) and ____________________________________ (name), of ______________________ (address), on _______ (date of revoked Power of Attorney).
IN WITNESS WHEREOF, I have hereunto set
my hand and seal at __________________, Connecticut, this _______ day of ______________,
sealed and delivered in the presence of:
|STATE OF CONNECTICUT)
) ss.: (town) ____________; _______ ,20__
COUNTY OF __________)
Personally appeared _______________, signer and sealer of the within and foregoing
instrument and acknowledged the same to be his/her free act and deed, before me.
|INSTRUCTIONS FOR SIGNING
DOCUMENT REVOKING POWER OF ATTORNEY
TO BE PRESENT DURING THE SIGNING