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REVOCATION OF POWER OF ATTORNEY



This Revocation of Power of Attorney (the Agreement) is made and effective [DATE],


BETWEEN:  [ATTORNEY NAME] (the "Attorney"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:

  [COMPLETE ADDRESS]


AND:  [YOUR COMPANY NAME] (the "Client"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:

      [YOUR COMPLETE ADDRESS]


KNOW ALL MEN BY THESE PRESENTS, that the [GENERAL OR SPECIAL] Power of Attorney executed by [NAME OF PRINCIPAL], constituted and appointed [NAME OF ATTORNEY], for the purpose set forth in said Power of Attorney, is hereby wholly revoked, cancelled and annulled.

This document acknowledges that the Client C grantor of the Power of Attorney C hereby revokes, rescinds and terminates said Power of Attorney and all authority, rights and power thereto effective this date.


IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date first above written. 


ATTORNEY            CLIENT



                          
Authorized Signature  Authorized Signature

                          
Print Name and Title  Print Name and Title

ACKNOWLEDGMENT
 

State of [STATE] 

County of [COUNTY] 

On [DATE] before me, [NAME OF NOTARY], notary, personally appeared [NAME OF PERSON(S) INVOLVED], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 


Witness my hand and official seal. 

Signature                            Notary 


(Seal)


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