New York Revocation of Power of Attorney
I, , of , revoke the power of attorney dated , empowering to act as my agent. I revoke and withdraw all power and authority granted under that power of attorney.
|if applicable||That power of attorney was recorded on . The reference number is .|
Signed: This __________________________ day of ________________________, ______________.
State of New York County of: ______________________________________
Signature: _______________________________________________________, Principal
Social Security number: ____________________________________________
Certificate of Acknowledgment of Notary Public
County of ___________________________________________ )
On _______________ before me, _________________________________________ (here insert name and title of the officer) personally appeared _______________________________, who 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.
I certify under PENALTY OF PERJURY under the laws of the State of ___________ that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Notary Public for the State of ______________
My commission expires __________________
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