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{{PLSExamplebox | {{PLSExamplebox | ||
| tips = I,__________________(''your name''), revoke the power of attorney that I made on ___________(''date power of attorney was signed'') that appointed the following people ________________(''name of your attorney(s)''). | | tips = I,__________________(''insert your name''), revoke the power of attorney that I made on ___________(''insert date power of attorney was signed'') that appointed the following people ________________(''insert name of your attorney(s)''). | ||
Date: _____________________ | |||
Signature: _________________ | |||
}} | }} | ||
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