This form is a notice of revocation of a power of attorney. The principal has chosen to revoke all powers given to the agent to act on his/her behalf. It is also in the principal's best interest to deliver the notice to all persons relying on the agent to act as the representative of the principal.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.