Revocation Of Power Of Attorney

KNOW ALL MEN BY THESE PRESENTS:

That the _____________ [General or Special] Power of Attorney executed by _____________________ [name of principal] and recorded in book ____________ , at page ______ , of the records of _____________ County, State of ____________________ , by which the undersigned _________________________ [name of principal] constituted _____________________ [name of attorney] attorney for the purpose set forth in said Power of Attorney, is hereby wholly revoked, cancelled and annulled.

Dated:

____________________________

NOTE: THIS FORM SHOULD NOTARIZED.