David Kerrick is an attorney providing legal and consulting services in the areas of business planning, estate planning, property and civil litigation. This site is intended as a public service to his clients and the internet community.  The material here is presented for educational purposes only and should not be construed as attorney-client advice unless otherwise indicated.  Please consult directly with Mr. Kerrick or a competent attorney licensed in your jurisdiction before acting on any of the information provided on these pages.     HOME





THAT, WHEREAS, I, ________________, of __________County, State of _________, did on the ______ day of _____________________, 20___, by that certain instrument entitled General Power of Attorney recorded as instrument #_________________ on _________________, 20___, in the records of _________ County, State of ____________, empower _____________________ of __________ County, State of _____________, to act as my true and lawful attorney, in my name and stead, and to do and perform all matters and things set forth therein as fully as I myself could do them; 

NOW, THEREFORE, I, __________________, hereby revoke, countermand, and make void the said Power of Attorney and all powers and authorities therein given and contained, and all matters and things which shall or may be acted, done or performed by virtue or means thereof in any manner whatsoever.

IN WITNESS WHEREOF, I hereby place my hand and seal this ____ day of _____________, 20___.


STATE OF ___________ )


County of ____________ )

On this ____ day of ____________, 20___, before me, the undersigned, a Notary Public in and for said State, personally appeared ______________, proved to me by sufficient evidence to be the person who executed the foregoing document and acknowledged to me that he/she executed the same.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year in this certificate first above written.


Notary Public for _____________

Residing at:__________________ 

My commission expires:________



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