Minnesota Power of Attorney Revocation Form
This form must be completed and sent to the Attorney in Fact or Agent to notify that the power of attorney arrangement is over.
REVOCATION OF POWER OF ATTORNEY
Minnesota Statutes, § 523.11
TO WHOM IT MAY CONCERN:
I ——————–• revoke and declare null and void the
POWER OF ATTORNEY I granted to————— which is dated
Please be advised that the above-named person no longer bas power to act as my attorney-in-fact in aoy way.
STATE OF MINNESOTA
County of _
The foregoing instrument was acknowledged before me this day of 200 , by