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Revocation Of Power Of Attorney - Utah

Revocation Of Power Of Attorney Form. This is a Utah form and can be used in Miscellaneous Statewide .
 Fillable pdf Last Modified 4/15/2014
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Revocation of Power of Attorney I swear that the following is true: (1) On ___________________________ (date), I signed a written power of attorney appointing _______________________________________________ (name) the attorney-in-fact for ___________________________________________ (name), delegating my powers as parent or guardian. I revoke that power of attorney and assume full rights and responsibilities of a parent or guardian. (2) Date Sign here Typed or printed name On this date, I certify that _________________________________________________________ (name) who is known to me or who presented satisfactory identification, in the form of ______________________________________________________ (form of identification), has, while in my presence and while under oath or affirmation, voluntarily signed this document and declared that it is true. Date: Sign here Typed or printed name Notary Seal Revocation of Power of Attorney Approved Board of District Court Judges January 16, 2009 Revised May 9, 2017 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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