Notice Of Revocation Of Power Of Attorney

I, _____________________, of ____________________, by written instrument dated ____________________, 201(x), appointed ___________________________ of ________________, my attorney in fact for the purposes and with powers therein set forth, a copy of which is attached hereto as Exhibit "A".

Notice is hereby given that I have revoked, and do hereby revoke, the above-described power of attorney, and all power and authority thereby given, or intended to be given, to ___________________________.


Dated _________________________, 201(x).





STATE OF ______________________

COUNTY OF _____________________


BEFORE ME, the undersigned authority,
on this ______ day of _______________, 201(x), personally appeared ______________________ to me well known to be the person described in and who signed the Foregoing, and acknowledged to me that he executed the same freely and voluntarily for the uses and purposes therein expressed.

WITNESS my hand and official seal the date aforesaid.



My Commission Expires:__________

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