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REVOCATION OF A POWER OF ATTORNEY
A REVOCATION OF A POWER OF ATTORNEY IS A DOCUMENT YOU WRITE SO THAT
YOU MAY TERMINATE A POWER OF ATTORNEY YOU HAVE ALREADY SIGNED.
***IDENTIFY YOURSELF AND THE ATTORNEY-IN-FACT THAT HAD APPOINTED***
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I PETER SMITH
BORN 1936/06/25
RESIDING AT:
1234 PETERSON AVENUE
DALLAS
TEXAS USA
ATTORNEY-IN-FACT THAT YOU HAD APPOINTED AND MOW REVOKE :
JOHN LONDON
RESIDING AT:
123 BALANTYNE AVENUE
DALLAS
TEXAS
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*** YOU MUST INFORM THE ATTORNEY-IN-FACT OF THE PRESENT REVOCATION.
I AM INFORMING HENRY LONDON, ATTORNEY-IN-FACT OF THE PRESENT REVOCATION
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***IN A SELECTIVE OR SPECIFIC POWER OF ATTORNEY YOU MAY INFORM KNOWN
THIRD PARTIES OF THIS REVOCATION :
HARRY SMITH INC
7865 HARRIS STREET
DALLAS
TEXAS USA 56545
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***FOR THIS DOCUMENT TO BECOME VALID YOU MUST SIGN IT***
I SIGN .........................
PETER SMITH
DATE: JUNE 4TH 1999
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***AS AN OPTION YOU MAY
A-HAVE ONE OR TWO WITNESSES SIGN THE SAME DOCUMENT
B-YOU MAY SIGN THIS DOCUMENT IN FRONT OF A PUBLIC NOTARY
WHO THEN COSIGNS THE DOCUMENT THUS NOTARIZING IT
......................................................................
***OPTION A-HAVE ONE OR TWO WITNESSES SIGN THE SAME DOCUMENT***
NAME OF WITNESS 1 : .................. DATE:
ADDRESS OF WITNESS 1 :.....................................
NAME OF WITNESS 2 : .................. DATE:
ADDRESS OF WITNESS 2 :.....................................
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***OPTION C-YOU MAY SIGN THIS DOCUMENT IN FRONT OF A PUBLIC NOTARY
WHO THEN COSIGNS THE DOCUMENT THUS NOTARIZING IT.
IF YOU CHOOSE TO HAVE THIS REVOCATION OF A POWER OF ATTORNEY NOTARIZED
PRINT IT HAVE IT NOTARIZED AND SEND US A HARD COPY OF THE NOTARIZED
POWER OF ATTORNEY WE WILL KEEP IT FOR YOU AT NO EXTRA COST.
STATE OF .....................COUNTY OF................... :
ON................ BEFORE ME PERSONALLY CAME.....(YOUR NAME)........
TO ME KNOWN, AND KNOWN TO ME TO BE THE INDIVIDUAL DESCRIBED IN AND
WHO EXECUTED THE FOREGOING POWER OF ATTORNEY AND DULY ACKNOWLEDGED
TO ME THAT (S)HE EXECUTED THE SAME.
................................
NOTARY PUBLIC
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